Active NPI
John Keun Lee, DMD
- General Practice Dentistry
- Lyndhurst, NJ
National Provider Identifier
1962482380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02463200
- Practice address
- 464 Valley Brook Ave FL 2a
Lyndhurst, NJ 07071-1995 - Phone
- (201) 933-9092
- Fax
- (201) 932-0112
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02463200 | NJ | Primary |
Addresses
Primary practice location
464 Valley Brook Ave FL 2a
Lyndhurst, NJ 07071-1995
Mailing address
244 Undercliff Ave
Edgewater, NJ 07020-1590
Phone (412) 897-5118
Other practice location 1
250 Makalapa Dr
Compacflt Health Services (N01Hd) Attn PA Coor
Pearl Harbor, HI 96860-3131
Phone (808) 471-2463
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS036229 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyndhurst Family Dental Associates, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lyndhurst, NJ
- NPI 1093620262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1962482380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 UNDERCLIFF AVE",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201590",
"telephone_number": "412-897-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 VALLEY BROOK AVE FL 2A",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711995",
"telephone_number": "201-933-9092",
"fax_number": "201-932-0112"
}
],
"practiceLocations": [
{
"address_1": "250 Makalapa Dr",
"address_2": "COMPACFLT HEALTH SERVICES (N01HD) ATTN PA COOR",
"address_purpose": "LOCATION",
"city": "Pearl Harbor",
"state": "HI",
"postal_code": "968603131",
"country_code": "US",
"telephone_number": "808-471-2463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "KEUN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02463200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.