Matthew Lee DDS NJ PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW LEE DDS NJ PC

Practice address

225 Broad Ave Ste 102
Palisades Park, NJ 07650-1589

Phone

(201) 658-0522

NPI assigned

Jul 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Lee, DDSNPI 1356408470

Title

Owner

Phone

(917) 860-5085

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Jonghyock Lee, D.D.S.

  • Dentist
  • Palisades Park, NJ
  • NPI 1356408470
  NPD (past) Authorized official

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1760053482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 AVE AT PORT IMPERIAL APT 101",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933198",
            "telephone_number": "917-860-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE STE 102",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501589",
            "telephone_number": "201-658-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Broad Ave Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076502635",
            "country_code": "US",
            "telephone_number": "201-658-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW LEE DDS NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-860-5085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.