Lee's Wellness Acupuncture,PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005971 Issued in NY

Legal business name

LEE'S WELLNESS ACUPUNCTURE,PLLC

Practice address

105 Shad Row # 1C
Piermont, NY 10968-3001

Phone

(201) 921-3180

NPI assigned

Nov 2, 2017

Last updated

Dec 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jae Woong Lee, LAC

Title

President

Phone

(201) 921-3180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae Woong Lee, LAC.

  • Acupuncturist
  • Flushing, NY
  • NPI 1548771504
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1356853055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 16TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241710",
            "telephone_number": "201-921-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SHAD ROW # 1C",
            "city": "PIERMONT",
            "state": "NY",
            "postal_code": "109683001",
            "telephone_number": "201-921-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S WELLNESS ACUPUNCTURE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "WOONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-921-3180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janis L. Enzenbacher,MD,PLLC
• Jennifer Robyn Kaplan
• Jee Hee Kim, O.M.D
• Shevaun K Kirschbaum, P.T., D.P.T.
• Brittany Kopac
• Laurie Nelson Lehey, L.AC.
• Lotus Physical Therapy for Women, PLLC
• Jordanna Maier, NY SPED 1041442161
• Elizabeth Marmaras, PHD, EDS
• Antonio Marti, M.D.

• Acupuncturist in Piermont, NY
• Providers in Piermont, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.