Active NPI
Han Wool Lyu, D.M.D
- Dentist
- Fort Lee, NJ
National Provider Identifier
1306229513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02519800
- Practice address
- 201 Bridge PLZ N
Apt 11C
Fort Lee, NJ 07024-5911 - Phone
- (201) 800-1039
- NPI assigned
- Jul 7, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02519800 | NJ | Primary |
Addresses
Primary practice location
201 Bridge PLZ N
Apt 11C
Fort Lee, NJ 07024-5911
Mailing address
201 Bridge PLZ N
Apt 11C
Fort Lee, NJ 07024-5911
Phone (201) 800-1039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02519800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1306229513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 BRIDGE PLZ N",
"address_2": "APT 11C",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245911",
"telephone_number": "201-800-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BRIDGE PLZ N",
"address_2": "APT 11C",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245911",
"telephone_number": "201-800-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYU",
"first_name": "HAN",
"middle_name": "WOOL",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02519800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.