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DR. EDWARD SANG KEUN LEE M.D.
NPI 1629265657
Surgery - Plastic and Reconstructive Surgery in Newark, NJ

Active since October 03, 2007PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
140 BERGEN ST STE E1620, NEWARK, NJ 07103(973) 972-5377(973) 972-8268 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Mar 9, 2021 (2 updates tracked since 2021).

About Dr. Edward Sang Keun Lee M.d. NPPES

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

DR. EDWARD SANG KEUN LEE M.D. (NPI 1629265657) is an individual plastic and reconstructive surgery provider in Newark, New Jersey, licensed in New Jersey (25MA08409800) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and maintains a secondary practice location in Avenel.

NPPES Registry Identity

NPI1629265657
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. EDWARD SANG KEUN LEECredential: M.D.
Location Address140 BERGEN ST STE E1620Newark, NJ 07103-2425
Mailing Address140 Bergen St Ste E1620Newark, NJ 07103-2425 · (973) 972-5377 · Fax (973) 972-8268
Phone(973) 972-5377
Fax(973) 972-8268
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2003
Enumeration DateOctober 3, 2007
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1629265657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NJ · 25MA08409800
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 249420-1 (NY)
140 BERGEN ST STE E1620, Newark, NJ 07103
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Secondary Practice Location 1

Location 11166 Saint Georges AveAvenel, NJ 07001-1263 · Phone (201) 585-9005 · Fax (201) 585-9006

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

Dr. Edward Sang Keun Lee M.d. 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 ID5799844932
PECOS Enrollment IDI20081104000046
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services14 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY MARTINEZ
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-1129
AMY CHEN MD
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-1129
NATALIE HASSELL MD
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-5377
TAYLOR MADISON SMARTZ MD
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-5377
NIKITA O. SHULZHENKO MD
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-5377
MARGARET MARY DALENA
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-5377
LAURA TSAI REED
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (973) 972-5377
SETH ISAAC NOORBAKHSH MD
Student in an Organized Health Care Education/Training Program
140 BERGEN ST STE E1620
NEWARK, NJ 07103
Essex County (304) 482-6853

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 Edward Lee's NPI number?

The NPI number for Edward Lee is 1629265657. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Edward Lee located?

Edward Lee practices at 140 Bergen St Ste E1620, Newark, NJ 07103. The listed phone number is (973) 972-5377.

What is Edward Lee's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Edward Lee enrolled in Medicare?

Yes. Edward 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.

Is Edward Lee affiliated with any hospitals?

According to CMS data, Edward Lee is affiliated with Jersey City Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Edward Lee was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.