Jy Lee Chiropractic LLC
Organization Active NPI Chiropractor · Ridgefield, NJ
NPI 1427372010 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1427372010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00677700 (NJ)
- Legal business name
- JY LEE CHIROPRACTIC LLC
- Practice address
- 669 Broad Ave Ste 201
Ridgefield, NJ 07657-1631 - Phone
- (201) 585-1020
- Fax
- (201) 917-3588
- NPI assigned
- Mar 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Jun Yup Lee, D.C.
- Title
- Clinic Director
- Phone
- (201) 956-1003
Practitioners 2
-
Chris Kim, DPT
-
Jun Yup Lee, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110106000897 | NJ | Part B Supplier - Clinic/Group Practice | 0244429298 |
Receives reassigned benefits from 2 practitioners Practice locations: Ridgefield, NJ |
National Provider Directory
Locations
545 Broad Ave
Fl 1
Palisades Park, NJ 07650
Phone (201) 585-1020
669 Broad Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 585-1020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 38MC00677700 | NJ | Yes |
Addresses
Primary practice location
669 Broad Ave Ste 201
Ridgefield, NJ 07657-1631
Mailing address
669 Broad Ave Ste 201
Ridgefield, NJ 07657-1631
Phone (201) 585-1020
Other practice location 1
545 Broad Ave Fl 1
Palisades Park, NJ 07650-1607
Phone (201) 585-1020
Other names
- JY LEE Chiropractic & Rehab
Other providers in Ridgefield, NJ
- Min-Beom Jin
- Steven Jin
- Johan Peguero
- Kristin Joson
- Jung F Wu MD PA
- Mona Kahil
- Han Jong Kang
- Justin Kang
- Raffi Kaprielian
- Kata Physical Therapy PC
All providers in Ridgefield, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.