SU JUNG LEE
NPI 1295201036
Nurse Practitioner - Family in New York, NY

Q: What is Su Jung Lee's NPI number?

The NPI number for Su Jung Lee is 1295201036. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Q: What is Su Jung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Su Jung Lee was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 19, 2018PECOS EnrolledAccepts Medicare Assignment

1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Oct 19, 2018 (2 updates tracked since 2018).

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About Su Jung Lee NPPES

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

SU JUNG LEE (NPI 1295201036) is an individual family provider in New York, New York, licensed in New York (F339256) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295201036

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSU JUNG LEE

Location Address1468 MADISON AVENew York, NY 10029-6508

Mailing Address1468 Madison AveNew York, NY 10029-6508 · (212) 241-6500

Phone(212) 241-6500

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 19, 2018

Last NPPES UpdateJune 8, 20262 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1295201036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F339256

1468 MADISON AVE, New York, NY 10029

Open in Google Maps ↗

Secondary Practice Locations 11

Location 1660 W Locust Ave Ste 103Fresno, CA 93650-1094 · Phone (559) 500-0910 · Fax (559) 354-0118

Location 2151 N Sunrise Ave Ste 1203Roseville, CA 95661-2932 · Phone (916) 850-2559 · Fax (916) 721-2456

Location 32321 W March Ln Ste 100Stockton, CA 95207-5278 · Phone (209) 921-3895 · Fax (209) 243-3472

Location 4435 Arden Ave Ste 460Glendale, CA 91203-1139 · Phone (747) 330-4769 · Fax (747) 330-4769

Location 5150 N Robertson Blvd Ste 206Beverly Hills, CA 90211-2144 · Phone (424) 550-3478 · Fax (424) 550-3478

Location 62915 Telegraph Ave Ste 304Berkeley, CA 94705-2030 · Phone (562) 625-0819 · Fax (562) 625-0819

Location 71580 W El Camino Real Ste 5Mountain View, CA 94040-2461 · Phone (650) 623-5731 · Fax (650) 623-5731

Location 82510 Webster StBerkeley, CA 94705-2557 · Phone (562) 625-0819 · Fax (562) 625-0819

Location 94849 Van Nuys Blvd Ste 211Sherman Oaks, CA 91403-2127 · Phone (747) 262-5075 · Fax (747) 262-5075

Location 102001 Santa Monica Blvd Ste 1160WSanta Monica, CA 90404-2120 · Phone (424) 282-6574 · Fax (424) 282-6574

Location 112331A Montpelier Dr Ste 20San Jose, CA 95116-1614 · Phone (408) 647-1524 · Fax (408) 647-1524

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Su Jung Lee 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 ID4981083011

PECOS Enrollment IDI20220621002420

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.

Areas of Expertise CMS Part B claims 6

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.

Injection, inclisiran, 1 mg J1306

Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.

24,992 services75 patients

Injection, tildrakizumab, 1 mg J3245

Tildrakizumab is a medication injected under the skin to treat moderate to severe plaque psoriasis, a skin condition. It works by reducing the effects of a substance in the body that can cause inflammation.

7,200 services32 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,260 services18 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

251 services144 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

70 services18 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

34 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JA'NET RUSSELL

Nurse Practitioner