Jin Ho Lee, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00090800 Issued in NJ

Practice address

135 Chestnut Ridge Rd Ste 250
Montvale, NJ 07645-1152

Phone

(201) 270-0900

Fax

(201) 502-0654

NPI assigned

Jul 5, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Montvale Acupuncture and Pain Center, Inc

  • Acupuncturist
  • Montvale, NJ
  • NPI 1013776087
  NPD

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1295090231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHESTNUT RIDGE RD STE 250",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451152",
            "telephone_number": "201-270-0900",
            "fax_number": "201-502-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CHESTNUT RIDGE RD STE 250",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451152",
            "telephone_number": "201-270-0900",
            "fax_number": "201-502-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIN",
        "middle_name": "HO",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00090800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Kulesza, M.D.
• Abbi Lambert
• Rick Lambert, MD
• Myriam Langer, M.D.
• Lawrence I. Livingston, M.D., P.a.
• Kiwon Lee, D.D.S.
• Danielle Lerch
• Harlan Levine, M.D.
• Lifeclinic Physical Therapy & Chiropractic NJ LLC
• Lifeline Urgent Care LLC

• Acupuncturist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.