Active NPI
Jayeong Lee
- Acupuncturist
- Palisades Park, NJ
National Provider Identifier
1679357446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U03032
- Practice address
- 323 3Rd St # a
Palisades Park, NJ 07650-2673 - Phone
- (347) 255-5460
- NPI assigned
- Aug 23, 2023
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U03032 | MD | Primary |
Addresses
Primary practice location
323 3Rd St # a
Palisades Park, NJ 07650-2673
Mailing address
323 3Rd St # a
Palisades Park, NJ 07650-2673
Phone (347) 255-5460
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 |
|---|---|---|---|
| U03032 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namu Wellness LLC | Acupuncturist | Current | 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
- Palisades Park, NJ
- NPI 1881424299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1679357446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 3RD ST # A",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076502673",
"telephone_number": "347-255-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 3RD ST # A",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "076502673",
"telephone_number": "347-255-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAYEONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-23",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U03032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palisades Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.