Individual provider Active NPI

Seungyeon Lee, NP

  • Family Nurse Practitioner
  • Branchburg, NJ
National Provider Identifier
1265048359
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01112600 Issued in NJ
Practice address
3322 US Highway 22 # 704-0100
Branchburg, NJ 08876-3476
Phone
(908) 704-0100
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NR19297700 NJ
Family Nurse Practitioner 363LF0000X 26NJ01112600 NJ Primary

Addresses

Primary practice location

3322 US Highway 22 # 704-0100
Branchburg, NJ 08876-3476

Mailing address

4609 Quail Ridge Dr
Plainsboro, NJ 08536-4232
Phone (201) 400-6454

Other practice location 1

4609 Quail Ridge Dr
Plainsboro, NJ 08536-4232
Phone (201) 400-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210330001873 NJ Practitioner - Nurse Practitioner 5395152813 Reassigns benefits to 5 organizations
I20260520004286 CA Practitioner - Nurse Practitioner 5395152813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livwell Healthcare Solutions PCGroup PAC ID 0749637312, 10 clinicians

Practice addresses (Care Compare)

594 El Camino Real
Santa Clara, CA 95050-4345
Phone (408) 821-4449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR19297700NJMDFamily Medicine Physician
26NJ01112600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical Family Medicine CurrentSince Sep 29, 2022 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 23, 2022 Accepting new patients
Access Medical Associates LLC Family Medicine CurrentSince Feb 4, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 23, 2022 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

3322 US Highway 22
#1
Branchburg, NJ 08876
Phone (908) 704-0100

3322 US Highway 22
Ste 1302
Branchburg, NJ 08876
Phone (908) 526-0700

3322 US Highway 22 W
Branchburg, NJ 08876
Phone (848) 334-0501

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

175 High St
Newton, NJ 07860
Phone (973) 383-2121

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

3100 Quakerbridge Rd
Ste 28
Trenton, NJ 08619
Phone (609) 245-7430

4200 Bergenline Ave
Union City, NJ 07087
Phone (551) 251-1948

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

Organizations & group practices 8

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1265048359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 QUAIL RIDGE DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085364232",
            "telephone_number": "201-400-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 # 704-0100",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763476",
            "telephone_number": "908-704-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4609 Quail Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085364232",
            "country_code": "US",
            "telephone_number": "201-400-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNGYEON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NR19297700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01112600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.