Organization Active NPI

Metro Dermatology of NJ,PA

  • Procedural Dermatology Physician
  • Fort Lee, NJ
National Provider Identifier
1437353372
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
METRO DERMATOLOGY OF NJ,PA
Practice address
2175 Lemoine Ave FL 6
Fort Lee, NJ 07024-6008
Phone
(201) 886-9000
Fax
(201) 227-1789
NPI assigned
Jun 13, 2007
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Hyun Soo Lee, MDNPI 1558446674
Title
Owner
Phone
(718) 886-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X Primary

Addresses

Primary practice location

2175 Lemoine Ave FL 6
Fort Lee, NJ 07024-6008

Mailing address

2175 Lemoine Ave FL 6
Fort Lee, NJ 07024-6008
Phone (201) 886-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028000754 NJ Part B Supplier - Clinic/Group Practice 5698737021 Receives reassigned benefits from 12 practitioners
Practice locations: Fort Lee, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1038217Metro Dermatology of NJ PA2175 Lemoine Ave, 6TH Floor, Fort Lee, NJ 07024Provider-performed microscopyMar 12, 2027

National Provider Directory

National Provider Directory

Locations

500 Grand Ave
Ste 201
Englewood, NJ 07631
Phone (201) 886-9000

2175 Lemoine Ave
Fl 6
Fort Lee, NJ 07024
Phone (201) 585-4612

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1437353372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE FL 6",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246008",
            "telephone_number": "201-886-9000",
            "fax_number": "201-227-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 LEMOINE AVE FL 6",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246008",
            "telephone_number": "201-886-9000",
            "fax_number": "201-227-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DERMATOLOGY OF NJ,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUN SOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-886-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.