Active NPI
Young Ho Lee, M.S.
- Acupuncturist
- Carlstadt, NJ
National Provider Identifier
1134412539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 3135
- Practice address
- 530 Broad St.
2ND FL.
Carlstadt, NJ 07072 - Phone
- (347) 551-0992
- Fax
- (201) 933-1216
- NPI assigned
- May 18, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00049100 | NJ | |
| Acupuncturist | 171100000X | 3135 | NY | Primary |
Addresses
Primary practice location
530 Broad St.
2ND FL.
Carlstadt, NJ 07072
Mailing address
530 Broad St.
2ND FL.
Carlstadt, NJ 07072
Phone (347) 551-0992
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00049100 | NJ | MD | Acupuncturist |
| 3135 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1134412539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 BROAD ST.",
"address_2": "2ND FL.",
"city": "CARLSTADT",
"state": "NJ",
"postal_code": "07072",
"telephone_number": "347-551-0992",
"fax_number": "201-933-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 BROAD ST.",
"address_2": "2ND FL.",
"city": "CARLSTADT",
"state": "NJ",
"postal_code": "07072",
"telephone_number": "347-551-0992",
"fax_number": "201-933-1216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOUNG",
"middle_name": "HO",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00049100",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "3135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlstadt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.