Jung S Lee MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037840L Issued in PA

Legal business name

JUNG S LEE MD, PC

Practice address

320 Abington Dr
Suite #1
Wyomissing, PA 19610-1898

Phone

(610) 678-3007

Fax

(610) 678-9845

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Jung Sook Lee, MD

Title

Owner

Phone

(610) 678-3007

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1497776348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ABINGTON DR",
            "address_2": "SUITE #1",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101898",
            "telephone_number": "610-678-3007",
            "fax_number": "610-678-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ABINGTON DR",
            "address_2": "SUITE #1",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101898",
            "telephone_number": "610-678-3007",
            "fax_number": "610-678-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG S LEE MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-678-3007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037840L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "068267",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006542100007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Jones
• Rushelle Jones
• Melissa A Jordan
• Ryan Jordan
• Joseph P Cavorsi PC
• Linda Kachel
• Robert Michael Kallos, D.M.D
• Haitham T Kanneh, M.D.
• Eric Matthew Kantner, DO
• Winifred W Kao-Seda, M.D.

• Family Medicine Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.