Organization Active NPI

Jongmi Lee NP in Adult & Family Health PLLC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1972071660
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JONGMI LEE NP IN ADULT & FAMILY HEALTH PLLC
Practice address
2623 Sedgwick Ave
4D
Bronx, NY 10468-3839
Phone
(929) 352-0454
Fax
(929) 352-0455
NPI assigned
Nov 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Jongmi Lee, NP-C, AGPCNP-BCNPI 1689996621
Title
Principal
Phone
(929) 352-0454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2623 Sedgwick Ave
4D
Bronx, NY 10468-3839

Mailing address

2623 Sedgwick Ave
4D
Bronx, NY 10468-3839
Phone (929) 352-0454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1972071660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SEDGWICK AVE",
            "address_2": "4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683839",
            "telephone_number": "929-352-0454",
            "fax_number": "929-352-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SEDGWICK AVE",
            "address_2": "4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683839",
            "telephone_number": "929-352-0454",
            "fax_number": "929-352-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONGMI LEE NP IN ADULT & FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONGMI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "929-352-0454",
        "authorized_official_credential": "NP-C, AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.