Active NPI
Jae Sun Lee, L.AC
- Acupuncturist
- Manhasset, NY
National Provider Identifier
1629490917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 005222-1
- Practice address
- 8 Hillcrest Ave
Manhasset, NY 11030-2316 - Phone
- (516) 308-9119
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005222-1 | NY | Primary |
Addresses
Primary practice location
8 Hillcrest Ave
Manhasset, NY 11030-2316
Mailing address
2330 Linwood Ave
Apt 4F
Fort Lee, NJ 07024-3862
Phone (201) 210-9553
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005222-1 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Currents Acupuncture PC | Acupuncturist | 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.
-
- Acupuncturist
- Manhasset, NY
- NPI 1093103426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1629490917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 LINWOOD AVE",
"address_2": "APT 4F",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243862",
"telephone_number": "201-210-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HILLCREST AVE",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302316",
"telephone_number": "516-308-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAE",
"middle_name": "SUN",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005222-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.