Individual provider Active NPI

Jun Lee, M.D

  • Rheumatology Physician
  • Flushing, NY
National Provider Identifier
1508252743
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA10946900 Issued in NJ
Practice address
14204 Bayside Ave Ste 1U-3U
Flushing, NY 11354-2331
Phone
(818) 825-7151
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 294484 NY
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 25MA10946900 NJ Primary

Addresses

Primary practice location

14204 Bayside Ave Ste 1U-3U
Flushing, NY 11354-2331

Mailing address

162 W 56TH St Apt 1003
New York, NY 10019-3865

Other practice location 1

1415 Queen Anne Rd
Teaneck, NJ 07666-3521
Phone (201) 837-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200917000092 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 8527304195 Reassigns benefits to 1 organization
I20210625000202 NY Practitioner - RheumatologyPractitioner - Internal Medicine 8527304195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Associates of North JerseyGroup PAC ID 3577583863, 7 clinicians

Practice addresses (Care Compare)

1415 Queen Anne Rd
Teaneck, NJ 07666-3521
Phone (201) 837-7788

14204 Bayside Ave
Suite 1U 3U
Flushing, NY 11354-2331
Phone (917) 525-4775

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
50.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10946900NJMDRheumatology Physician
294484NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Rheumatology PLLC Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Rheumatology Associates of North Jersey Single Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

1415 Queen Anne Rd
Teaneck, NJ 07666
Phone (201) 488-4914

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

14204 Bayside Ave
Ste 1U3U
Flushing, NY 11354
Phone (818) 825-7151

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1508252743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W 56TH ST APT 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14204 BAYSIDE AVE STE 1U-3U",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542331",
            "telephone_number": "818-825-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Queen Anne Rd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663521",
            "country_code": "US",
            "telephone_number": "201-837-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "294484",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA10946900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.