Individual provider Active NPI

Sun Hee Lee Lee, MD

  • Pediatrics Physician
  • Fort Lee, NJ
National Provider Identifier
1225140403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA029736 Issued in NJ
Practice address
1608 Lemoine Ave
Suite 205
Fort Lee, NJ 07024-5622
Phone
(201) 944-2858
Fax
(201) 944-2872
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA029736 NJ Primary

Addresses

Primary practice location

1608 Lemoine Ave
Suite 205
Fort Lee, NJ 07024-5622

Mailing address

1608 Lemoine Ave
Suite 205
Fort Lee, NJ 07024-5622
Phone (201) 944-2858

Other names 1

  • Mrs. Sun Hee Lee Park Other name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA029736NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225140403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "address_2": "SUITE 205",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-944-2858",
            "fax_number": "201-944-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "address_2": "SUITE 205",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-944-2858",
            "fax_number": "201-944-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUN",
        "middle_name": "HEE LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA029736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUN",
            "last_name": "PARK",
            "middle_name": "HEE LEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.