Individual provider Active NPI

Junho Lee

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1194420620
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
19 Norman CT
East Brunswick, NJ 08816-3692
Phone
(732) 874-1565
NPI assigned
Apr 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

19 Norman CT
East Brunswick, NJ 08816-3692

Mailing address

19 Norman CT
East Brunswick, NJ 08816-3692
Phone (732) 874-1565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002851 NJ Practitioner - Physical Therapist in Private Practice 1951740117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig Rallo Chiropractor,LLCGroup PAC ID 2466720073, 2 clinicians

Practice addresses (Care Compare)

2698 County Rd
516 Suite C
Old Bridge, NJ 08857-2305
Phone (732) 679-1100

324 Raritan Ave
Suite 114
Highland Park, NJ 08904-2758
Phone (732) 874-1565

505 Main St
Suite B
Lanoka Harbor, NJ 08734-2236
Phone (908) 839-2487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Rallo Chiropractor,LLC CurrentSince Jun 17, 2024 Accepting new patients
Broad Ave Chiropractic LLC Physical Therapist PastSince Apr 1, 2023 Accepting new patients

Locations

505 Main St
Ste B
Lanoka Harbor, NJ 08734
Phone (609) 994-3730

2698 Highway 516
Ste C
Old Bridge, NJ 08857
Phone (732) 679-1100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1194420620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NORMAN CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163692",
            "telephone_number": "732-874-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NORMAN CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163692",
            "telephone_number": "732-874-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.