Active NPI
Jangwon Lee, M.D.
- Internal Medicine Physician
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2020-00159
- Practice address
- 120 Healthplex Way Ste 204
Apex, NC 27502-8403 - Phone
- (919) 350-0550
- Fax
- (919) 350-9822
- NPI assigned
- Jun 16, 2011
- Last updated
- May 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020-00159 | NC | Primary |
Addresses
Primary practice location
120 Healthplex Way Ste 204
Apex, NC 27502-8403
Mailing address
120 Healthplex Way # 204
Apex, NC 27502-8403
Phone (919) 350-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-00159 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Wake Specialty Physicians | Current | Accepting new patients |
Locations
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
120 Healthplex Way
#204
Apex, NC 27502
120 Healthplex Way
Ste 204
Apex, NC 27502
Phone (919) 350-0550
231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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-
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- NPI 1659936839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1669767794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HEALTHPLEX WAY # 204",
"city": "APEX",
"state": "NC",
"postal_code": "275028403",
"telephone_number": "919-350-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTHPLEX WAY STE 204",
"city": "APEX",
"state": "NC",
"postal_code": "275028403",
"telephone_number": "919-350-0550",
"fax_number": "919-350-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JANGWON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-16",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2020-00159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.