Active NPI
J Elica Kang Lee, MD
- Pediatric Adolescent Medicine Physician
- Edison, NJ
National Provider Identifier
1225149727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA05821600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA05821600 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Allergy & Immunology Physician
- Edison, NJ
- NPI 1164729448
Specialist
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.