Individual provider Active NPI

Younjea Lee, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1306201603
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403200 Issued in NY
Practice address
2604 3Rd Ave
Bronx, NY 10454-1199
Phone
(347) 834-1117
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F339225-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403200 NY Primary

Addresses

Primary practice location

2604 3Rd Ave
Bronx, NY 10454-1199

Mailing address

152 Colonial Ave
Williston Park, NY 11596-1527
Phone (347) 834-1117

Other practice location 1

152 Colonial Ave
Williston Park, NY 11596-1527
Phone (347) 834-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20171031002166 NY Practitioner - Nurse Practitioner 6305112798 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339225NYMDLicensed Practical Nurse
F339225-1NYMDFamily Nurse Practitioner
F403200NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Medical Services of New York, PLLC CurrentSince Feb 1, 2018 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jan 1, 2022 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates, PC CurrentSince Feb 1, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince Feb 1, 2018 Accepting new patients
Xtreme Home Physical Therapy PC Past Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1306201603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 COLONIAL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961527",
            "telephone_number": "347-834-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541199",
            "telephone_number": "347-834-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Colonial Ave",
            "address_purpose": "LOCATION",
            "city": "Williston Park",
            "state": "NY",
            "postal_code": "115961527",
            "country_code": "US",
            "telephone_number": "347-834-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNJEA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339225-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.