Active NPI
Yeonji Lee, DDS
- Dentist
- New York, NY
National Provider Identifier
1508542697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 065450
- Practice address
- 30 E 40TH St RM 806
New York, NY 10016-1212 - Phone
- (646) 624-0987
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 065450 | NY | Primary |
Addresses
Primary practice location
30 E 40TH St RM 806
New York, NY 10016-1212
Mailing address
30 E 40TH St RM 806
New York, NY 10016-1212
Phone (646) 624-0987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1508542697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 40TH ST RM 806",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161212",
"telephone_number": "646-624-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 40TH ST RM 806",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161212",
"telephone_number": "646-624-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YEONJI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "065450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.