Active NPI
Seung Jae Lee, PHD,MAC.,DOM, LAC AP
- Acupuncturist
- Wakefield, MA
National Provider Identifier
1417015256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 468
- Practice address
- 223 Salem St
Wakefield, MA 01880 - Phone
- (781) 995-4311
- Fax
- (781) 995-0436
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 468 | MA | Primary |
| Acupuncturist | 171100000X | AP2274 | FL | |
| Acupuncturist | 171100000X | 004318-1 | NY |
Addresses
Primary practice location
223 Salem St
Wakefield, MA 01880
Mailing address
PO Box 1736
Wakefield, MA 01880
Phone (781) 995-4311
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 468 | MA | MD | Chiropractor |
| AP2274 | FL | MD | Acupuncturist |
| 004318-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1417015256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1736",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "781-995-4311",
"fax_number": "781-995-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 SALEM ST",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "781-995-4311",
"fax_number": "781-995-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEUNG",
"middle_name": "JAE",
"name_prefix": "Dr.",
"credential": "PHD,MAC.,DOM, LAC AP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "468",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2274",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004318-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.