MIMI JOONYOUNG LEE DDS, MD
NPI 1366604829
Dentist - Oral and Maxillofacial Surgery in New York, NY
About Mimi Joonyoung Lee Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIMI JOONYOUNG LEE DDS, MD (NPI 1366604829) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (056100-1) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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)
Mimi Joonyoung Lee Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Mimi Lee's NPI number?
The NPI number for Mimi Lee is 1366604829. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Mimi Joonyoung Park Dds, MD.
Where is Mimi Lee located?
Mimi Lee practices at 3915 Broadway, New York, NY 10032. The listed phone number is (212) 567-5536.
What is Mimi Lee's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Mimi Lee enrolled in Medicare?
Yes. Mimi Lee is registered in the Medicare PECOS enrollment system.
What insurance does Mimi Lee accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mimi Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mimi Lee was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mimi Joonyoung Lee, DDS, MD · NPI 1366604829
Oral and Maxillofacial Surgery provider in New York, New York. Individual provider, active in the CMS NPPES registry since June 26, 2008.
## Identity
- **NPI:** 1366604829 (Entity type: Individual)
- **Enumerated:** June 26, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 056100-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3915 BROADWAY, New York, NY 10032-1565
- **Phone:** (212) 567-5536 · **Fax:** (212) 202-6447
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** February 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1366604829) · Data from the CMS NPPES public registry.