Individual provider Active NPI

Mikyung Lee

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1326791955
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006925 Issued in NY
Practice address
4021 159TH St Ste 3F
Flushing, NY 11358-1667
Phone
(646) 300-5990
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006925 NY Primary

Addresses

Primary practice location

4021 159TH St Ste 3F
Flushing, NY 11358-1667

Mailing address

4021 159TH St Ste 3F
Flushing, NY 11358-1667
Phone (646) 300-5990

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

LicenseStateTypeSpecialty
006925NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mikyung Lee Acupuncture PC Acupuncturist CurrentSince Feb 6, 2022 Accepting new patients
Daeyon Theratopia Acupuncture LLC Acupuncturist Current Accepting new patients

Locations

2500 Lemoine Ave
Ste 303
Fort Lee, NJ 07024
Phone (201) 363-0233

4021 159th St
Ste 3F
Flushing, NY 11358
Phone (646) 300-5990

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, 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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1326791955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 159TH ST STE 3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581667",
            "telephone_number": "646-300-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 159TH ST STE 3F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581667",
            "telephone_number": "646-300-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIKYUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006925",
            "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 Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.