Mary Lee

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00080100 Issued in NJ

Practice address

21 Grand Ave # 1F
Suite 516
Palisades Park, NJ 07650-1076

Phone

(201) 313-0313

Fax

(201) 313-0806

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KJ Acu & Herbs Corp.

  • Health Service Clinic/Center
  • Oakland Gardens, NY
  • NPI 1205245933
  NPD (past) Authorized official
• KJ Acu & Herbs Corp.

  • Health Maintenance Organization
  • Oakland Gardens, NY
  • NPI 1356883201
  NPD (past) Authorized official
• Bareun Spine Clinic

  • Chiropractor
  • Palisades Park, NJ
  • NPI 1346796349
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1437691391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 224TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642318",
            "telephone_number": "646-670-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE # 1F",
            "address_2": "SUITE 516",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-313-0313",
            "fax_number": "201-313-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00080100",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunsol Cho Lee, APN
• Hyojung Lee
• Jayeong Lee
• John Lee, L.AC, C.A, C.H
• Jong Jin Lee, RPH
• Matthew Jonghyock Lee, D.D.S.
• Miok Lee
• Moonsae Lee, DDS
• Sieun Lee, MPT
• Sun Young Lee

• Acupuncturist in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.