YEONSEUNG LEE M.D.
NPI 1134570575
Student in an Organized Health Care Education/Training Program in Paterson, NJ

Q: What is Yeonseung Lee's NPI number?

The NPI number for Yeonseung Lee is 1134570575. It was assigned to this individual provider in the NPPES registry on June 27, 2016. The provider is also known as Yeon Seung Lee M.D..

Q: What is Yeonseung Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Yeonseung Lee was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 27, 2016PECOS Enrolled

703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER - PEDIATRICS, PATERSON, NJ 07503(973) 754-3450 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Jun 27, 2016 (2 updates tracked since 2016).

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About Yeonseung Lee M.d. NPPES

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

YEONSEUNG LEE M.D. (NPI 1134570575) is an individual student in an organized health care education/training program in Paterson, New Jersey and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134570575

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameYEONSEUNG LEECredential: M.D.

Location Address703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER - PEDIATRICSPaterson, NJ 07503-2621

Mailing Address703 Main StPaterson, NJ 07503-2621 · (973) 754-2575

Phone(973) 754-3450

Sole ProprietorYes

Enumeration DateJune 27, 2016

Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1134570575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

703 MAIN ST, Paterson, NJ 07503

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Other Names 1

Professional Name (2)Yeon Seung Lee M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yeonseung Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. SETAREH SHAMS MD

Obstetrics & Gynecology (Obstetrics)