Individual provider Active NPI

Jae Young Lee, M.D., PH.D.

  • Radiation Oncology Physician
  • Freehold, NJ
National Provider Identifier
1629332812
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA10145500 Issued in NJ
Practice address
901 W Main St
Freehold, NJ 07728-2537
Phone
(732) 795-5618
Fax
(732) 303-5299
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301101374 MI
Radiation Oncology Physician 2085R0001X MD461991 PA
Radiation Oncology Physician 2085R0001X 25MA10145500 NJ Primary

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2537

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Other practice location 1

9 Centre Dr Ste 115
Monroe Twp, NJ 08831-5153
Phone (609) 655-5755

Other practice location 2

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 607-6989

Other practice location 3

419 N. Harrison St
Princeton, NJ 08540-4089
Phone (609) 921-3345

Other practice location 4

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 495-6325

Other identifiers 1

IdentifierTypeStateIssuer
1790396281OtherNJTITAN HEALTH GROUP NPI#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20170817003838 NJ Practitioner - Radiation Oncology 2163722133 Reassigns benefits to 3 organizations
I20170823001911 PA Practitioner - Radiation Oncology 2163722133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Procure Management, LLCGroup PAC ID 4385806785, 15 clinicians
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

103 Cedar Grove LN
Somerset, NJ 08873-4717
Phone (732) 357-2600

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (732) 390-7750

9 Centre Dr
Suite 115
Monroe Township, NJ 08831-5153
Phone (732) 390-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as individual
Quality
78.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10145500NJMDRadiation Oncology Physician
MD461991PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titan Health Partners LLC Radiation Oncology CurrentSince Jan 1, 2021 Accepting new patients
Princeton Procure Management, LLC Radiation Oncology CurrentSince Aug 19, 2017 Accepting new patients
Titan Health Partners LLC CurrentSince Jan 1, 2021 Accepting new patients
Princeton Radiology Associates, P.a. CurrentSince Aug 1, 2017 Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

J2 Brier Hill Ct
East Brunswick, NJ 08816
Phone 73239077500219

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (570) 468-1555

34-36 Progress St
Ste B
Edison, NJ 08820

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

3674 State Route 27
#A
Kendall Park, NJ 08824
Phone 73282155631226

3674 State Route 27
#C
Kendall Park, NJ 08824

9 Centre Dr
Ste 115
Monroe Twp, NJ 08831
Phone (609) 655-5755

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

215 Easton Ave
New Brunswick, NJ 08901
Phone (732) 545-0400

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

103 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 357-2600

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: jlee425255@direct.ahsys.org
  • Direct secure messaging: jlee2021341@direct.trinity-health.org

Organizations & group practices 5

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 1

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1629332812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-795-5618",
            "fax_number": "732-303-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Centre Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Monroe Twp",
            "state": "NJ",
            "postal_code": "088315153",
            "country_code": "US",
            "telephone_number": "609-655-5755",
            "fax_number": "609-655-5725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Langhorne Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471201",
            "country_code": "US",
            "telephone_number": "215-607-6989",
            "fax_number": "215-710-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 N. Harrison St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085404089",
            "country_code": "US",
            "telephone_number": "609-921-3345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Wescott Dr",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224603",
            "country_code": "US",
            "telephone_number": "908-495-6325",
            "fax_number": "908-788-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "YOUNG",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101374",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD461991",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA10145500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TITAN HEALTH GROUP NPI#",
            "identifier": "1790396281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.