DR. JENNIFER S LEE DMD
NPI 1407978836
Dentist in New York, NY

Q: What is Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1407978836. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Q: What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 05, 2007PECOS EnrolledAccepts Medicare Assignment

110 W 97TH ST, NEW YORK, NY 10025(212) 749-1820(212) 531-4063 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jennifer S Lee Dmd NPPES

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

DR. JENNIFER S LEE DMD (NPI 1407978836) is an individual dentist in New York, New York, licensed in New York (050805) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Rutgers School Of Dental Medicine (2001).

NPPES Registry Identity

NPI1407978836

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JENNIFER S LEECredential: DMD

Location Address110 W 97TH STNew York, NY 10025-6450

Mailing Address110 W 97th StNew York, NY 10025-6450 · (212) 749-1820 · Fax (212) 531-4063

Phone(212) 749-1820

Fax(212) 531-4063

Sole ProprietorNo

Medical School CMSRutgers School Of Dental MedicineGraduated 2001

Enumeration DateApril 5, 2007

Last NPPES UpdateDecember 5, 2012

✔ NPI 1407978836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 050805

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

110 W 97TH ST, New York, NY 10025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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

Dr. Jennifer S Lee Dmd 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 ID648582437

PECOS Enrollment IDI20150708000916

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 Jennifer Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

William F Ryan Community Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

110 W 97TH ST
New York, NY 10025

Reassigned Medicare billing, New York enrollment
186 clinicians in this Medicare group

NPI 1851328199 (212) 749-1820

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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.

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. JULIE ANNE CHELOUCHE CPNP-PC, RN, CPN

Nurse Practitioner (Pediatrics)