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MISS JAEJUNG LEE
NPI 1700339967
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since July 25, 2016PECOS Enrolled
200 TILLARY ST, BROOKLYN, NY 11201(718) 855-7485(718) 855-1317 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 13, 2017 (2 updates tracked since 2017).

About Miss Jaejung Lee NPPES

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

MISS JAEJUNG LEE (NPI 1700339967) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (F402313) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1700339967
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS JAEJUNG LEE
Location Address200 TILLARY STBrooklyn, NY 11201-3026
Mailing Address200 W 89th St, Apt. 3wNew York, NY 10024-1847 · (714) 331-7205
Phone(718) 855-7485
Fax(718) 855-1317
Sole ProprietorYes
Enumeration DateJuly 25, 2016
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1700339967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F402313
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 679880 (NY)
200 TILLARY ST, Brooklyn, NY 11201
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Secondary Practice Location 1

Location 1200 W 89th St, Apt. 3WNew York, NY 10024-1847 · Phone (714) 331-7205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jaejung Lee 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 4

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

MS. REGINA BRYAN LMSW
Social Worker (Clinical)
200 TILLARY ST
BROOKLYN, NY 11201
Kings County (718) 855-7485
NEW LIFE ADVANTAGE SUPPORT
Foster Care Agency
200 TILLARY ST
BROOKLYN, NY 11201
Kings County (938) 888-4697
MISS JENNIFER ELAINE KOONINGS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
200 TILLARY ST
BROOKLYN, NY 11201
Kings County (718) 855-7485
INSTITUTE FOR COMMUNITY LIVING, INC.
Community/Behavioral Health
200 TILLARY ST, 3RD FLOOR
BROOKLYN, NY 11201
Kings County (718) 855-7485

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 Jaejung Lee's NPI number?

The NPI number for Jaejung Lee is 1700339967. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Jaejung Lee located?

Jaejung Lee practices at 200 Tillary St, Brooklyn, NY 11201. The listed phone number is (718) 855-7485.

What is Jaejung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jaejung Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jaejung Lee was last updated on March 17, 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.