AVA SOHYUN LEE DMD
NPI 1255833224
Dentist - General Practice in New York, NY

Active since March 06, 2018PECOS Enrolled
269 AMSTERDAM AVE, NEW YORK, NY 10023(212) 201-0744 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2023, Sep 19, 2019, Mar 6, 2018 (3 updates tracked since 2018).

About Ava Sohyun Lee Dmd NPPES

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

AVA SOHYUN LEE DMD (NPI 1255833224) is an individual general practice provider in New York, New York, licensed in New York (062936-01) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255833224
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAVA SOHYUN LEECredential: DMD
Location Address269 AMSTERDAM AVENew York, NY 10023-2800
Mailing Address269 Amsterdam AveNew York, NY 10023-2800
Sole ProprietorNo
Enumeration DateMarch 6, 2018
Last NPPES UpdateMay 5, 20233 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1255833224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in NY · 062936-01 Licensed in FL · DN23928
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

269 AMSTERDAM AVE, New York, NY 10023

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ava Sohyun Lee Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255833224, enumerated as an "individual" on March 06, 2018.

The provider is located at 269 AMSTERDAM AVE NEW YORK, NY 10023 and the phone number is (212) 201-0744.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.