Richard Lee, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00777700 Issued in NJ

Practice address

204 Tom Hunter Rd
Fort Lee, NJ 07024-5302

Phone

(201) 220-2245

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sport Rehab Chiro P.C.

  • Clinic/Center
  • Fort Lee, NJ
  • NPI 1982366571
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1467114041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245302",
            "telephone_number": "201-220-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245302",
            "telephone_number": "201-220-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00777700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiyoung Lee
• Joonghae Lee, LAC
• Juhyun Lee, DMD
• Kayla Lee, PHARMD
• Mark Eungsang Lee, PT
• Ryan S Lee, D.C.
• Samuel Lee, PHARM. D.
• Sang-Uk Lee, P.T
• So Young Lee, LCSW
• Sue-Jung Lee, M.S. ED

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.