Active NPI
Jin Ho Lee, L.AC
- Acupuncturist
- Montvale, NJ
National Provider Identifier
1295090231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00090800
- 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
- Last updated
- Jun 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00090800 | NJ | Primary |
Addresses
Primary practice location
135 Chestnut Ridge Rd Ste 250
Montvale, NJ 07645-1152
Mailing address
135 Chestnut Ridge Rd Ste 250
Montvale, NJ 07645-1152
Phone (201) 270-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MZ00090800 | NJ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montvale Acupuncture and Pain Center, Inc | Acupuncturist | Current | Accepting new patients |
Locations
135 Chestnut Ridge Rd
Ste 250
Montvale, NJ 07645
Phone (201) 270-0900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}
Other providers in Montvale, NJ
Sources for this page
- 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.