K & L Wellness NP PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

K & L WELLNESS NP PC

Practice address

716 Broadway Apt 1
Bayonne, NJ 07002-4763

Phone

(201) 243-6148

NPI assigned

Jun 11, 2025

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jae Eun LeeNPI 1073834784

Title

NP/President

Phone

(347) 744-4005

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae Eun Lee

  • Adult Health Nurse Practitioner
  • Bronx, NY
  • NPI 1073834784
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1154216000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROADWAY APT 1",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024763",
            "telephone_number": "201-243-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & L WELLNESS NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE EUN",
        "authorized_official_title_or_position": "NP/PRESIDENT",
        "authorized_official_telephone_number": "347-744-4005"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan M. Alter, D.D.S.
• Zamara Joseph
• Journey Counseling Center LLC
• Juluru P. Rao, M.D., P.a.
• Linda M June, PHD
• K R Wignarajan (K.R. Wignarajan MD)
• Maria Kaldes
• Cecilia Kamai, PTA
• Chitra Kanani, PT
• Ashish Kapoor, M.D.

• Adult Health Nurse Practitioner in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.