Active NPI
Duk Jo Lee
- Acupuncturist
- New Milford, NJ
National Provider Identifier
1205494093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005043
- Practice address
- 205 Fulton St
New Milford, NJ 07646-1651 - Phone
- (201) 835-0016
- NPI assigned
- Jun 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005043 | NY | Primary |
Addresses
Primary practice location
205 Fulton St
New Milford, NJ 07646-1651
Mailing address
205 Fulton St
New Milford, NJ 07646-1651
Phone (201) 835-0016
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 |
|---|---|---|---|
| 005043 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1205494093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 FULTON ST",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076461651",
"telephone_number": "201-835-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 FULTON ST",
"city": "NEW MILFORD",
"state": "NJ",
"postal_code": "076461651",
"telephone_number": "201-835-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DUK JO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.