Individual provider Active NPI

Junho Bok Lee, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1245321462
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
166634 Issued in NY
Practice address
38-25 Parsons Blvd. #1G
Flushing, NY 11354
Phone
(718) 353-4100
Fax
(718) 939-5500
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 166634 NY Primary

Addresses

Primary practice location

38-25 Parsons Blvd. #1G
Flushing, NY 11354

Mailing address

3825 Parsons Blvd Ste 1G
Flushing, NY 11354-5839
Phone (718) 353-4100

Other practice location 1

4221 162nd St Apt 1
Flushing, NY 11358-4151
Phone (718) 463-0101

Other identifiers 1

IdentifierTypeStateIssuer
00978872MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000162 NY Practitioner - Internal Medicine 0446343727 Reassigns benefits to 2 organizations
Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Lees Medical Associates LLPGroup PAC ID 5092245472, 2 clinicians

Practice addresses (Care Compare)

3825 Parsons Blvd
Suite 1G
Flushing, NY 11354-5839
Phone (718) 353-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
166634NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ji Medical Group PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Dr. Lees Medical Associates, LLP CurrentSince Jan 1, 2025 Accepting new patients
Song Heart and Vascular PC Past Accepting new patients
William Shin Pediatric PC Past Accepting new patients

Locations

4121 162nd St
Fl 1
Flushing, NY 11358
Phone (718) 463-0101

3825 Parsons Blvd
Ste 1G
Flushing, NY 11354
Phone (718) 353-4100

14748 Roosevelt Ave
Ste L9
Flushing, NY 11354
Phone (718) 353-4100

1270 Broadway
Rm 405
New York, NY 10001
Phone (212) 714-1170

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: junho.lee@974415204777988.direct.elationemr.com

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1245321462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 PARSONS BLVD STE 1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545839",
            "telephone_number": "718-353-4100",
            "fax_number": "718-939-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38-25 PARSONS BLVD. #1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-353-4100",
            "fax_number": "718-939-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 162nd St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113584151",
            "country_code": "US",
            "telephone_number": "718-463-0101",
            "fax_number": "917-563-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNHO",
        "middle_name": "BOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978872",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.