Jaedoo Lee

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00733100 Issued in NJ

Practice address

517 Cedar LN FL 2
Teaneck, NJ 07666-1710

Phone

(201) 347-9393

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Abcmc Chiropractic PC

  • Chiropractor
  • Ridgefield, NJ
  • NPI 1043178817
  Medicare reassignment NPD Authorized official
• Abcnj Chiropractic PC

  • Clinic/Center
  • Teaneck, NJ
  • NPI 1477299311

  Chiropractor

  NPD Authorized official
• East Billow Acupuncture PC

  • Acupuncturist
  • Teaneck, NJ
  • NPI 1336897214
  NPD

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1881057412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CEDAR LN FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661710",
            "telephone_number": "201-347-9393",
            "fax_number": "201-482-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CEDAR LN FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661710",
            "telephone_number": "201-347-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAEDOO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00156000",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00733100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosario (Russ) Joseph Lazzaro I, RPH
• Jessica Lebovitz
• Aviva Lebowitz
• Dongkeun Lee, L. AC.(NJ,NY)
• Han Nah Lee
• Jason Choonghyun Lee, M.D.
• Jen F Lee, MD
• Johanna Lee, D.O.
• Jonathan H Lee, MD
• Jooneui Lee, M.S.

• Chiropractor in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.