Jae Woong Lee, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005971-1 Issued in NY

Practice address

14327 Roosevelt Ave
Flushing, NY 11354-6139

Phone

(201) 921-3180

Fax

(201) 921-3180

NPI assigned

Oct 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• 8 Avenue Acupuncture PLLC

  • Acupuncturist
  • New York, NY
  • NPI 1538981766
  NPD Authorized official
• Lee's Wellness Acupuncture,PLLC

  • Acupuncturist
  • Piermont, NY
  • NPI 1356853055
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1548771504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 16TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241710",
            "telephone_number": "201-921-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14327 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546139",
            "telephone_number": "201-921-3180",
            "fax_number": "201-921-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE WOONG",
        "name_prefix": "Mr.",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005971-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Lee
• Jae Hyuk Lee, L.AC
• Jae Kyung Lee, FNP-C
• Jae S Lee, LAC, LMT
• Jae Sung Lee, DO
• Jaekwan Lee
• James E. Lee, DDS
• Jane Lee
• Jason Lee, PHARM.D.
• Jay Lee, DO

• Acupuncturist in Flushing, NY
• Providers in Flushing, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.