Jae S Lee, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005243 Issued in NY

Practice address

14748 Roosevelt Ave Apt 1F
Flushing, NY 11354-4709

Phone

(407) 730-1128

NPI assigned

Jan 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1386067155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14748 ROOSEVELT AVE APT 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544709",
            "telephone_number": "407-730-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14748 ROOSEVELT AVE APT 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544709",
            "telephone_number": "407-730-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005243",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Young Lee
• Insup Lee, DDS
• Jackson Lee
• Jae Hyuk Lee, L.AC
• Jae Kyung Lee, FNP-C
• Jae Sung Lee, DO
• Jae Woong Lee, LAC.
• Jaekwan Lee
• James E. Lee, DDS
• Jane Lee

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.