Active NPI
Jiyeon Lee
- Acupuncturist
- Astoria, NY
National Provider Identifier
1396243101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006083
- Practice address
- 2751 27TH St
Astoria, NY 11102-2451 - Phone
- (718) 316-7486
- NPI assigned
- Jan 26, 2018
- Last updated
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 006083 | NY | Primary |
Addresses
Primary practice location
2751 27TH St
Astoria, NY 11102-2451
Mailing address
6842B Cloverdale Blvd
Oakland Gardens, NY 11364-2754
Phone (718) 316-7486
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 |
|---|---|---|---|
| 006083 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1396243101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6842B CLOVERDALE BLVD",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642754",
"telephone_number": "718-316-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 27TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022451",
"telephone_number": "718-316-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JIYEON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.