DONG YOUNG LEE MD
NPI 1679078893
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 28, 2018PECOS Enrolled
611 JUSTINS PLACE LN, LAWRENCEVILLE, GA 30043(314) 303-3873 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dong Young Lee Md NPPES

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

DONG YOUNG LEE MD (NPI 1679078893) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679078893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDONG YOUNG LEECredential: MD
Location Address611 JUSTINS PLACE LNLawrenceville, GA 30043-7327
Mailing Address10201 66th RdForest Hills, NY 11375-2029
Sole ProprietorNo
Enumeration DateMarch 28, 2018
NPI 1679078893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
611 JUSTINS PLACE LN, Lawrenceville, GA 30043

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dong Young Lee Md 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.

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 Dong Lee's NPI number?

The NPI number for Dong Lee is 1679078893. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Dong Lee located?

Dong Lee practices at 611 Justins Place Ln, Lawrenceville, GA 30043. The listed phone number is (314) 303-3873.

What is Dong Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dong Lee enrolled in Medicare?

Yes. Dong Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dong Lee was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.