Active NPI
Man Piu Lee, DMD
- Dentist
- Princeton Junction, NJ
National Provider Identifier
1518113240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D102133002
- Practice address
- 838 Alexander Road
Princeton Junction, NJ 08540 - Phone
- (609) 520-8300
- Fax
- (609) 520-8315
- NPI assigned
- Aug 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102133002 | NJ | Primary |
| Dentist | 122300000X | DS031104L | PA | |
| Dentist | 122300000X | 048521 | NY |
Addresses
Primary practice location
838 Alexander Road
Princeton Junction, NJ 08540
Mailing address
838 Alexander Road
Princeton Junction, NJ 08540
Phone (609) 520-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102133002 | NJ | MD | Dentist |
| DS031104L | PA | MD | Dentist |
| 048521 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dental Care Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Princeton, NJ
- NPI 1225239403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1518113240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 ALEXANDER ROAD",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-520-8300",
"fax_number": "609-520-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 ALEXANDER ROAD",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "08540",
"telephone_number": "609-520-8300",
"fax_number": "609-520-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MAN",
"middle_name": "PIU",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D102133002",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS031104L",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "048521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton Junction, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.