Active NPI
Rebecca Lee
- General Practice Dentistry
- North Bergen, NJ
National Provider Identifier
1669016986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02778300
- Practice address
- 3123 John F. Kennedy Blvd
North Bergen, NJ 07047 - Phone
- (201) 662-0662
- NPI assigned
- Oct 30, 2019
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02778300 | NJ | Primary |
Addresses
Primary practice location
3123 John F. Kennedy Blvd
North Bergen, NJ 07047
Mailing address
360 W 34TH St Apt 7B
New York, NY 10001-2408
Phone (617) 650-7731
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 |
|---|---|---|---|
| 22DI02778300 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1669016986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W 34TH ST APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012408",
"telephone_number": "617-650-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 JOHN F. KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "07047",
"telephone_number": "201-662-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02778300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.