Active NPI
Sun Joo Lee
- Dentist
- Wappingers Falls, NY
National Provider Identifier
1225680531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63747
- Practice address
- 939 Ny-376 #1
Wappingers Falls, NY 12590 - Phone
- (845) 223-9987
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6835 | AL | |
| Dentist | 122300000X | 63747 | NY | Primary |
Addresses
Primary practice location
939 Ny-376 #1
Wappingers Falls, NY 12590
Mailing address
200 Fort Hill Rd Apt 112
Peekskill, NY 10566-2266
Phone (804) 426-9264
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 |
|---|---|---|---|
| 63747 | NY | MD | Dentist |
| 6835 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Hamilton, Jr, DMD, LLC | Dentist | 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.
-
- Dentist
- Greenville, AL
- NPI 1659502623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1225680531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FORT HILL RD APT 112",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662266",
"telephone_number": "804-426-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 NY-376 #1",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "12590",
"telephone_number": "845-223-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUN",
"middle_name": "JOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2024-05-14",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6835",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "63747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.