Active NPI
Jung Min Lee, M.D.
- Glaucoma Specialist (Ophthalmology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 267512
- Practice address
- 210 E 64TH St FL Center6
New York, NY 10065-7471 - Phone
- (212) 702-7620
- NPI assigned
- May 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 267512 | NY | Primary |
Addresses
Primary practice location
210 E 64TH St FL Center6
New York, NY 10065-7471
Mailing address
210 East 64TH Street
Glaucoma Center - 6TH Floor
New York, NY 10065
Phone (212) 702-7620
Other practice location 1
600 Northern Blvd
Ste 214
Great Neck, NY 11021-5206
Phone (516) 470-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-2752
221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6500
27005 75TH Ave
New Hyde Park, NY 11040-1402
27005 76TH Ave GF
New Hyde Park, NY 11040-1402
Phone (718) 470-7501
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
4300 Hempstead Tpke
Bethpage, NY 11714-5704
Phone (516) 562-3090
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
600 Northern Blvd
Ste 218
Great Neck, NY 11021
600 Northern Blvd
Ste 214
Great Neck, NY 11021
Phone (516) 465-8460
210 E 64th St
Fl 6
New York, NY 10065
Phone (212) 702-7670
210 E 64th St
#6
New York, NY 10065
Phone (212) 702-7620
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- junglee@nslijmedgr.allscriptsdirect.net
- jlee988014@nychhc.direct-ci.com
Organizations & group practices 1
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386904548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 EAST 64TH STREET",
"address_2": "GLAUCOMA CENTER - 6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10065",
"telephone_number": "212-702-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 64TH ST FL CENTER6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657471",
"telephone_number": "212-702-7620"
}
],
"practiceLocations": [
{
"address_1": "600 Northern Blvd",
"address_2": "Ste 214",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110215206",
"country_code": "US",
"telephone_number": "516-470-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JUNG",
"middle_name": "MIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "NY",
"license": "267512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.