DR. JUN YUP LEE D.C.
NPI 1083936470
Chiropractor in Ridgefield, NJ

Active since February 25, 2010
669 BROAD AVE STE 201, RIDGEFIELD, NJ 07657(201) 585-1020(201) 917-3588 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jun Yup Lee D.c. NPPES

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

DR. JUN YUP LEE D.C. (NPI 1083936470) is an individual chiropractor in Ridgefield, New Jersey, licensed in New Jersey (38MC00677700) and active in the NPI registry since February 2010. He maintains a secondary practice location in Palisades Park.

NPPES Registry Identity

NPI1083936470
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JUN YUP LEECredential: D.C.
Location Address669 BROAD AVE STE 201Ridgefield, NJ 07657-1631
Mailing Address669 Broad Ave Ste 201Ridgefield, NJ 07657-1631 · (201) 585-1020 · Fax (201) 917-3588
Fax(201) 917-3588
Sole ProprietorYes
Enumeration DateFebruary 25, 2010
Last NPPES UpdateJanuary 28, 2020
✔ NPI 1083936470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00677700
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
669 BROAD AVE STE 201, Ridgefield, NJ 07657

Secondary Practice Location 1

Location 1545 Broad Ave Fl 1Palisades Park, NJ 07650-1607 · Phone (201) 585-1020 · Fax (201) 585-1215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jun Yup Lee D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jun Yup Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
669 BROAD AVE STE 201
Ridgefield, NJ 07657
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
191 services25 patients

Other Providers at the Same Location NPPES 2

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

Chiropractor
669 BROAD AVE STE 201
RIDGEFIELD, NJ 07657
Chiropractor
669 BROAD AVE STE 201
RIDGEFIELD, NJ 07657

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 Jun Yup Lee's NPI number?

The NPI number for Jun Yup Lee is 1083936470. It was assigned to this individual provider in the NPPES registry on February 25, 2010.

Where is Jun Yup Lee located?

Jun Yup Lee practices at 669 Broad Ave Ste 201, Ridgefield, NJ 07657. The listed phone number is (201) 585-1020.

What is Jun Yup Lee's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jun Yup Lee enrolled in Medicare?

Yes. Jun Yup Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jun Yup Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jun Yup Lee reassigns Medicare benefits to Jy Lee Chiropractic LLC (Ridgefield, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jun Yup Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jun Yup Lee was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.