Jy Lee Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00677700 Issued in NJ

Legal business name

JY LEE CHIROPRACTIC LLC

Doing business as

JY LEE Chiropractic & Rehab

Practice address

669 Broad Ave Ste 201
Ridgefield, NJ 07657-1631

Phone

(201) 585-1020

Fax

(201) 917-3588

NPI assigned

Mar 25, 2010

Last updated

Jan 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jun Yup Lee, D.C.NPI 1083936470

Title

Clinic Director

Phone

(201) 956-1003

Specialties & licenses 1

Addresses

Other names 1

• JY LEE Chiropractic & Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jun Yup Lee, D.C.

  • Chiropractor
  • Ridgefield, NJ
  • NPI 1083936470
  Medicare reassignment NPD Authorized official
• Chris Kim, DPT

  • Physical Therapist
  • Palisades Park, NJ
  • NPI 1588392542
  Medicare reassignment NPD

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1427372010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 BROAD AVE STE 201",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571631",
            "telephone_number": "201-585-1020",
            "fax_number": "201-917-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 BROAD AVE STE 201",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571631",
            "telephone_number": "201-585-1020",
            "fax_number": "201-917-3588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Broad Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076501607",
            "country_code": "US",
            "telephone_number": "201-585-1020",
            "fax_number": "201-585-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JY LEE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUN YUP",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "201-956-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00677700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JY LEE Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Min-Beom Jin, L.AC., CA
• Steven Jin, L.AC.
• Johan Peguero (Johan Peguero, LCSW)
• Kristin Joson
• Jung F Wu MD PA
• Mona Kahil, DNP, MSN, A-GNP-C
• Han Jong Kang, D.D.S
• Justin Kang, DMD, MS, MPH
• Raffi Kaprielian, DDS
• Kata Physical Therapy PC (Kata Physical Therapy)

• Chiropractor in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.