Jessica S Lee, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

06832 Issued in NJ

Practice address

83 Hanover Rd Ste 240
Florham Park, NJ 07932-1508

Phone

(973) 360-1100

NPI assigned

Apr 30, 2013

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Northeast Facial and Oral Surgery Specialists, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Florham Park, NJ
  • NPI 1831618529
  NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Paterson, NJ
  • NPI 1548433048
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1497190722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 240",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 240",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321508",
            "telephone_number": "973-360-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "060912",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "06832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Lavner, RD
• Latronia L Lawrence, BCBA
• Gary Layton, DDS
• LBJ Nutrition Corporation
• LCS Florham Park LLC
• Jiwoo Lee, PHARMD
• Ariana Legregni
• David Leigh, PSY.D
• Gregory Joseph Leighton Jr., PHARM.D.
• Roman W. Lemega, PH.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.