Yoon Shin Jamie Lee, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

059412 Issued in NY

Practice address

53 E 66TH St
New York, NY 10065-6148

Phone

(917) 921-1396

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Yoonshin Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yoon Shin Lee, DDS, PLLC

  • Endodontics
  • New York, NY
  • NPI 1831089903
  NPD
• Convissar and Goldstein DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1417013509
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1730539453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N 6TH ST APT 5O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493079",
            "telephone_number": "917-921-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E 66TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656148",
            "telephone_number": "917-921-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552205",
            "country_code": "US",
            "telephone_number": "917-921-1396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Kent St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112222105",
            "country_code": "US",
            "telephone_number": "347-889-7734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hempstead Ave Unit A",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115631652",
            "country_code": "US",
            "telephone_number": "516-599-6397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Park Ave S Ste 1414",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100031523",
            "country_code": "US",
            "telephone_number": "212-255-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOON SHIN",
        "middle_name": "JAMIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "059412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE YOONSHIN",
            "last_name": "LEE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yongseok Lee
• Yoo Bin Lee, DDS
• Yoo Jeong Lee
• Yoon Carolyn Lee, L.AC.
• Yoon Hyung Lee, MD
• Yoonjin (Joanne) Lee
• Youjin Lee
• Young Im Lee, M.D.
• Young Ja Lee
• Young Mi Lee, MD

• Endodontics in New York, NY
• Providers in New York, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.