Individual provider Active NPI

Lynette Marlene Hem-Lee, RDN

  • Registered Dietitian
  • Hackensack, NJ
National Provider Identifier
1326519133
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1085887 Issued in NJ
Practice address
2 University PLZ Ste 100
Hackensack, NJ 07601-6210
Phone
(201) 744-7749
Fax
(201) 742-6304
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1085887 NJ Primary

Addresses

Primary practice location

2 University PLZ Ste 100
Hackensack, NJ 07601-6210

Mailing address

509 North St
Teaneck, NJ 07666-1633
Phone (201) 744-7749

Other practice location 1

509 North St
Teaneck, NJ 07666-1633
Phone (201) 744-7749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217001175 NJ Practitioner - Registered Dietitian Or Nutrition Professional 2062845621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1085887NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Family Health Network, Inc CurrentSince Oct 3, 2023 Accepting new patients
Metropolitan Family Health Network, Inc. CurrentSince Oct 3, 2023 Accepting new patients

Locations

935 Garfield Ave
Jersey City, NJ 07304
Phone (201) 478-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Organizations & group practices 2

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1326519133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 NORTH ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661633",
            "telephone_number": "201-744-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 100",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016210",
            "telephone_number": "201-744-7749",
            "fax_number": "201-742-6304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 North St",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076661633",
            "country_code": "US",
            "telephone_number": "201-744-7749",
            "fax_number": "201-742-6304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEM-LEE",
        "first_name": "LYNETTE",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1085887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.