Sun Young Lee

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F339171 Issued in NY

Practice address

11 West Harriet Ave
Apt 102
Palisades Park, NJ 07650

Phone

(917) 651-8339

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1245637842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W HARRIET AVE APT 102",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501063",
            "telephone_number": "917-651-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WEST HARRIET AVE",
            "address_2": "APT 102",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "917-651-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUN YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lee
• Matthew Jonghyock Lee, D.D.S.
• Miok Lee
• Moonsae Lee, DDS
• Sieun Lee, MPT
• Sung-Won Lee, M.D.
• Tiffany Lee, PT DPT
• Edward Liguori
• Daniel Lim
• Hyung Jun Lim, DPT

• Family Nurse Practitioner in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.