Active NPI
Jung Hyun Lee, D.M.D.
- Dentist
- Hartsdale, NY
National Provider Identifier
1346521200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 057825
- Practice address
- 280 N Central Ave Ste 420
Hartsdale, NY 10530-1842 - Phone
- (914) 874-5121
- Fax
- (914) 874-5122
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 057825 | NY | Primary |
Addresses
Primary practice location
280 N Central Ave Ste 420
Hartsdale, NY 10530-1842
Mailing address
302 Saint Michaels Walk
Union City, NJ 07087-3367
Phone (401) 749-1545
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 |
|---|---|---|---|
| 057825 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1346521200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 SAINT MICHAELS WALK",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070873367",
"telephone_number": "401-749-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N CENTRAL AVE STE 420",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301842",
"telephone_number": "914-874-5121",
"fax_number": "914-874-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JUNG",
"middle_name": "HYUN",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.