Mi S Lee

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00329200 Issued in NJ

Practice address

19 Spring Hollow Rd
Old Tappan, NJ 07675-7471

Phone

(201) 750-8682

NPI assigned

May 31, 2012

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• New Jersey Rehab Pain Clinic PC

  • Physical Therapy Clinic/Center
  • Hasbrouck Heights, NJ
  • NPI 1982096392
  NPD
• Ospt of Clifton LLC

  • Physical Medicine & Rehabilitation Physician
  • Clifton, NJ
  • NPI 1306665989
  NPD

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1831450337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SPRING HOLLOW RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757471",
            "telephone_number": "201-750-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SPRING HOLLOW RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757471",
            "telephone_number": "201-750-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MI",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00329200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan T Kwee, D.D.S.
• Barbara Ford Lanoil, MSW
• Gary John Larocca, D.C.
• Drew Morgan Lebovich, APN
• Keun Lee, MD
• Seung Moh Lee
• Sheryl Lee, LCSW
• Sunhee Lee, DMD
• Lindsay M Lepore, DMD
• Hongsoon Lim, D.C

• Adult Health Nurse Practitioner in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.