Song Eun Lee, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA09694900 Issued in NJ

Practice address

1200 E Ridgewood Ave
Ste #207
Ridgewood, NJ 07450-3952

Phone

(201) 612-9600

Fax

(201) 612-0428

NPI assigned

Apr 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Retina Consultants, PA, IIGroup PAC ID 8729033816, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slee@refocus.intellechartdirect.net

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.

• Refocus Eye Health of NJ, P.C.

  • Ophthalmology Physician
  • Camden, NJ
  • NPI 1093316549
  Medicare reassignment Care Compare group NPD
• Retina Consultants, PA, II

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1215906169
  Medicare reassignment Care Compare group NPD
• Refocus Eye Health of NJ, P.C.

  • Eyewear Supplier
  • Oakland, NJ
  • NPI 1912867052
  NPD
• Refocus Eye Health of Central Connecticut, P.C.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1548874936
  NPD
• Trustees of Columbia University in the City of New York

  • Ophthalmology Physician
  • New York, NY
  • NPI 1376576892
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Ophthalmology Physician
  • New York, NY
  • NPI 1790732352
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1972747749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "STE #207",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503952",
            "telephone_number": "201-612-9600",
            "fax_number": "201-612-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "STE #207",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503952",
            "telephone_number": "201-612-9600",
            "fax_number": "201-612-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SONG EUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09694900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Lee, M.D.
• Jukwang Lee, L.AC
• Julia Lee, ED.S.
• Minhye Lee
• Peter Hae Suk Lee, MD
• Soomyung Lee, M.D.
• Ting-Wen A Lee, MD
• Youngick Lee, MD
• Valerie Leibowitz, LCSW
• Noelia Leite, LMFT

• Ophthalmology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.