Active NPI
Jongmi Lee NP in Adult & Family Health PLLC
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1972071660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jongmi Lee, NP-C, AGPCNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 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 DirectoryPractitioners & 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.