Eun Jung Lee

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00078900 Issued in NJ

Practice address

573 Valley Rd
Wayne, NJ 07470-3511

Phone

(973) 839-1003

Fax

(973) 839-3653

NPI assigned

Jun 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madalian Chiropractic & Physical Therapy PC

  • Rehabilitation Chiropractor
  • Wayne, NJ
  • NPI 1003081514
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1750728481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703511",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703511",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN",
        "middle_name": "JUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00078900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence R Law, D.M.D.
• Lawrence a Guarino MD PA
• Alan Lazebnik, PHARM.D
• Hai Thanh Le, DPM
• Harrold Seth Leader, M.D.
• Helena Lee, C.A.
• Jee Hyung Lee
• Joung Lee, MD
• Dana Leggieri, AU.D
• Lekha H. Gopal, LLC

• Acupuncturist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.