DR. JAE YOUNG LEE (NPI# 1629332812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629332812 |
Entity Type | Individual |
Full Name | DR. JAE YOUNG LEE |
Credential | M.D., PH.D. |
Practice Address |
419 N. Harrison St Princeton NJ 08540-4089 |
Mailing Address |
Po Box 956 Evansville IN 47706-0956 |
Practice Telephone | 6099213345 |
Enumeration Date | 2012-07-02 |
Last Update Date | 2017-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 4301101374 | MI | Allopathic & Osteopathic Physicians |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MA10145500 | NJ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336637586 | Jae Myung Lee | Counselor | 1166 S Elmhurst Rd, Mt Prospect, IL 60056-4241 | 2018-04-24 |
1477098887 | Jae Lee | Acupuncturist | 955 Armory Rd, Barstow, CA 92311-5461 | 2016-12-21 |
1346658192 | Jae Yong Lee | Dentist | 1111 River Road, G25, Edgewater, NJ 07020-1369 | 2014-07-24 |
1205241320 | Jae Lee | Acupuncturist | 12411 Osborne St, Unit 45, Pacoima, CA 91331-2000 | 2014-06-26 |
1386067155 | Jae S Lee | Acupuncturist | 14748 Roosevelt Ave Apt 1f, Flushing, NY 11354-4709 | 2014-01-29 |
1609217736 | Jae Bum Lee | Dentist | 401 S Glenoaks Blvd Ste 100, Burbank, CA 91502-2707 | 2013-07-17 |
1699026906 | Jae Hun Lee | Pharmacist | Providence St. Peter Hospital, 413 Lilly Road N.e., Department of Pharmacy, Olympia, WA 98506 | 2012-09-26 |
1306194279 | Jae Hun Lee | Acupuncturist | 1630 Pleasant Hill Rd Ste C2, Duluth, GA 30096-5899 | 2012-08-26 |
1366718934 | Jae Lee | Pharmacist | 25250 Pacific Highway S, Kent, WA 98032 | 2012-03-28 |
1306076807 | Jae Woo Lee | Acupuncturist | 9601 Garden Grove Blvd, Garden Grove, CA 92844-1515 | 2009-07-17 |
Street Address |
419 N. HARRISON ST |
City | PRINCETON |
State | NJ |
Zip Code | 08540-4089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
Find all providers in zip 08540 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063469625 | Radiation Oncology Associates, Inc. | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-05-28 |
1841231933 | Charles E Gabe | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-06-09 |
1609816214 | Joseph M. Baisden | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.