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JAE EUN LEE
NPI 1073834784
Nurse Practitioner - Adult Health in Bronx, NY

Active since June 16, 2010
444 WILLIS AVE, BRONX, NY 10455(347) 862-2700 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2021, Oct 19, 2020 (2 updates tracked since 2020).

About Jae Eun Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE EUN LEE (NPI 1073834784) is an individual adult health provider in Bronx, New York, licensed in New York (F309262-01) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1073834784
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJAE EUN LEE
Location Address444 WILLIS AVEBronx, NY 10455-4013
Mailing Address444 Willis AveBronx, NY 10455-4013 · (347) 862-2700
Phone(347) 862-2700
Sole ProprietorNo
Enumeration DateJune 16, 2010
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1073834784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F309262-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 620172 (NY)
444 WILLIS AVE, Bronx, NY 10455
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY KAHRL BIGORNIA OT
Occupational Therapist
444 WILLIS AVE
BRONX, NY 10455
Bronx County (646) 236-6898
MS RESOURCES
Occupational Therapist
444 WILLIS AVE
BRONX, NY 10455
Bronx County (462) 366-8986
334 GRAND CONCOURSE MEDICAL PC
Urology
444 WILLIS AVE
BRONX, NY 10455
Bronx County (718) 841-7392
IREBO FOOT AND ANKLE SURGERY
Clinic/Center (Podiatric)
444 WILLIS AVE
BRONX, NY 10455
Bronx County (646) 633-1045
CHOI FAMILY HEALTH NP PC
Nurse Practitioner (Family)
444 WILLIS AVE
BRONX, NY 10455
Bronx County (347) 862-2700
GEORGE RAMSIS BISHAY PT
Physical Therapist
444 WILLIS AVE
BRONX, NY 10455
Bronx County (718) 401-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Eun Lee's NPI number?

The NPI number for Jae Eun Lee is 1073834784. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Jae Eun Lee located?

Jae Eun Lee practices at 444 Willis Ave, Bronx, NY 10455. The listed phone number is (347) 862-2700.

What is Jae Eun Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jae Eun Lee was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.