Shirley Lee

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT01184000 Issued in NJ

Practice address

4 W South Orange Ave Ste 305
South Orange, NJ 07079-4704

Phone

(973) 327-3371

NPI assigned

Oct 23, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1861264079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEADOWLANDS PKWY UNIT 322",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942971",
            "telephone_number": "646-418-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W SOUTH ORANGE AVE STE 305",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070794704",
            "telephone_number": "973-327-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Meadowlands Pkwy Unit 322",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942971",
            "country_code": "US",
            "telephone_number": "646-418-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHIRLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031250-01",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01184000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Lazarus
• LD Behavioral and Support Services
• Learning for Life Development Center, LLC
• Chenghui Lee
• Clyde Lee III
• Nina Lerner, L.C.S.W.
• Alexander Lesaski, LPC
• Brandon Elijah Levine
• Jason Adam Levine, DPT
• Stephen J Levine, D.C.

• Massage Therapist in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.