Active NPI
Jungwon Lee, L.AC.
- Acupuncturist
- Flushing, NY
National Provider Identifier
1306115936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 003733
- Practice address
- 3519 153Rd St FL 1
Flushing, NY 11354-4923 - Phone
- (646) 283-5627
- NPI assigned
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 003733 | NY | Primary |
Addresses
Primary practice location
3519 153Rd St FL 1
Flushing, NY 11354-4923
Mailing address
3519 153Rd St FL 1
Flushing, NY 11354-4923
Phone (646) 283-5627
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1306115936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 153RD ST FL 1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544923",
"telephone_number": "646-283-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 153RD ST FL 1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544923",
"telephone_number": "646-283-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNGWON",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.