Individual provider Active NPI

Dongkeun Lee, L. AC.(NJ,NY)

  • Acupuncturist
  • Teaneck, NJ
National Provider Identifier
1811268634
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00081200 Issued in NJ
Practice address
765 Teaneck Rd
Ground FL.
Teaneck, NJ 07666-4248
Phone
(201) 862-1110
Fax
(201) 862-1154
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00081200 NJ Primary

Addresses

Primary practice location

765 Teaneck Rd
Ground FL.
Teaneck, NJ 07666-4248

Mailing address

2000 Linwood Ave
Apt. 11N
Fort Lee, NJ 07024-3086
Phone (201) 862-1110

Other names 1

  • Mr. Daniel K Lee Professional name

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

LicenseStateTypeSpecialty
25MZ00081200NJMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1811268634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LINWOOD AVE",
            "address_2": "APT. 11N",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243086",
            "telephone_number": "201-862-1110",
            "fax_number": "201-862-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 TEANECK RD",
            "address_2": "GROUND FL.",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664248",
            "telephone_number": "201-862-1110",
            "fax_number": "201-862-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DONGKEUN",
        "name_prefix": "Mr.",
        "credential": "L. AC.(NJ,NY)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00081200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "LEE",
            "middle_name": "K",
            "prefix": "MR.",
            "credential": "L. AC.(NJ,NY)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.