Active NPI
Jamie Jungmin Lee
- Acupuncturist
- Pearl River, NY
National Provider Identifier
1124823679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 007868
- Practice address
- 125 E Central Ave
Pearl River, NY 10965-2543 - Phone
- (551) 242-9025
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 033736 | NY | |
| Acupuncturist | 171100000X | 007868 | NY | Primary |
Addresses
Primary practice location
125 E Central Ave
Pearl River, NY 10965-2543
Mailing address
40 Jefferson Ave # B
Emerson, NJ 07630-1230
Phone (914) 432-2878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007868 | NY | MD | Acupuncturist |
| 033736 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1124823679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 JEFFERSON AVE # B",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076301230",
"telephone_number": "914-432-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E CENTRAL AVE",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652543",
"telephone_number": "551-242-9025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAMIE",
"middle_name": "JUNGMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "033736",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "007868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.