Eun Young Lee, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02668200 Issued in NJ

Practice address

51 State RT 23
Riverdale, NJ 07457-1625

Phone

(973) 831-2901

NPI assigned

May 17, 2016

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)

Not enrolled

State licenses

Practice roles

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.

• George Xenakis, DDS, Palisades Park, LLC

  • Dental Clinic/Center
  • Edison, NJ
  • NPI 1831649201
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1275980484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 CENTER AVE APT 4D",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244902",
            "telephone_number": "201-747-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STATE RT 23",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571625",
            "telephone_number": "973-831-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1723 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088173471",
            "country_code": "US",
            "telephone_number": "732-230-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 Park St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070423465",
            "country_code": "US",
            "telephone_number": "973-744-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02668200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather La Manno, DPT
• Laboratory Medicine Diagnostics
• Dorothy Ladyzhensky, OTD
• Sarah Jeanne Leavy, MSOT, OTR/L
• Edward Jung Kyun Lee, M.D.
• Jessie Yenyi Lee, P.T., D.P.T.
• Jina Lee, PHARM.D.
• Yongeun Lee
• Bruce Israel Leibowitz, DDS
• Charles Leighton, L.C.S.W.

• General Practice Dentistry in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.