Active NPI
In Han Lee, DMD
- Periodontics
- Englewood Cliffs, NJ
National Provider Identifier
1396915724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22DI02151000
- Practice address
- 460 Sylvan Ave
1St Floor
Englewood Cliffs, NJ 07632-2919 - Phone
- (201) 461-0002
- Fax
- (201) 816-1144
- NPI assigned
- Feb 29, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22DI02151000 | NJ | Primary |
Addresses
Primary practice location
460 Sylvan Ave
1St Floor
Englewood Cliffs, NJ 07632-2919
Mailing address
460 Sylvan Ave
1St Floor
Englewood Cliffs, NJ 07632-2919
Phone (201) 461-0002
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 |
|---|---|---|---|
| 22DI02151000 | NJ | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&K Dental | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Englewood Cliffs, NJ
- NPI 1295990265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1396915724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 SYLVAN AVE",
"address_2": "1ST FLOOR",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322919",
"telephone_number": "201-461-0002",
"fax_number": "201-816-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 SYLVAN AVE",
"address_2": "1ST FLOOR",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322919",
"telephone_number": "201-461-0002",
"fax_number": "201-816-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "IN",
"middle_name": "HAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DI02151000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.