Augustine Sang Yoon Lee, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA35694 Issued in NJ

Practice address

905 Stuyvesant Avenue
Trenton, NJ 08618-4021

Phone

(609) 393-4220

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sang Yoon Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255478269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 STUYVESANT AVENUE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184021",
            "telephone_number": "609-393-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 STUYVESANT AVENUE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184021",
            "telephone_number": "609-393-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AUGUSTINE",
        "middle_name": "SANG YOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA35694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANG YOON",
            "last_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Law, M.D.
• Lisa Marie Lawson, LSW
• Julie K Le, PA-C
• Cheryl Leblanc
• Lee & Lee Intimate Mental Health and Well Being
• Chunghee Lee, M.D.
• Kelly Leech, B.S.
• Jennifer Elaine Legore
• Iris Alheli Leiva, DOULA
• Shannon Victoria Lenox, RN

• Family Medicine Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.