Individual provider Active NPI

J Elica Kang Lee, MD

  • Pediatric Adolescent Medicine Physician
  • Edison, NJ
National Provider Identifier
1225149727
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MA05821600 Issued in NJ
Practice address
1790 Oak Tree Rd
Edison, NJ 08820-2704
Phone
(732) 549-7007
Fax
(732) 494-9098
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA05821600 NJ
Pediatric Adolescent Medicine Physician 2080A0000X MA05821600 NJ Primary

Addresses

Primary practice location

1790 Oak Tree Rd
Edison, NJ 08820-2704

Mailing address

1790 Oak Tree Rd
Edison, NJ 08820-2704
Phone (732) 549-7007

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
MA05821600NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kang-Lee and Janusz Pediatrics, LLC Specialist Past Accepting new patients

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225149727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202704",
            "telephone_number": "732-549-7007",
            "fax_number": "732-494-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202704",
            "telephone_number": "732-549-7007",
            "fax_number": "732-494-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG LEE",
        "first_name": "J ELICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA05821600",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA05821600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

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