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JAEYOP LEE MD, PHD
NPI 1174186597
General Practice in New York, NY

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2025, Jun 1, 2023, Apr 22, 2019 (3 updates tracked since 2019).

About Jaeyop Lee Md, Phd NPPES

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

JAEYOP LEE MD, PHD (NPI 1174186597) is an individual general practice provider in New York, New York, licensed in New York (310062-01) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174186597
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJAEYOP LEECredential: MD, PHD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address4427 Purves StLong Island City, NY 11101-2946
Phone(212) 639-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1174186597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 310062-01
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1275 YORK AVE, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaeyop Lee Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123356706
PECOS Enrollment IDI20250826003458
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.

Medicare Billing Reassignment

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

Memorial Hematology Lymphoma Group
Same address
Hematology & Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 428 clinicians in this Medicare group
NPI 1891766366 (646) 227-3813

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

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.

MRS. ZANA CORREA NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 Jaeyop Lee's NPI number?

The NPI number for Jaeyop Lee is 1174186597. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Jaeyop Lee located?

Jaeyop Lee practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Jaeyop Lee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jaeyop Lee enrolled in Medicare?

Yes. Jaeyop Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jaeyop Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaeyop Lee reassigns Medicare benefits to Memorial Hematology Lymphoma Group (New York, NY). 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 Jaeyop 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 Jaeyop Lee was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.