1. Home
  2. Directory
  3. New Jersey
  4. Clifton
  5. Nurse Practitioner
  6. NPI Profile

SUNGJIN LEE FNP
NPI 1750260097
Nurse Practitioner - Family in Clifton, NJ

Active since August 30, 2025PECOS Enrolled
1700 STATE RT 3, CLIFTON, NJ 07013(862) 249-4901 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sungjin Lee Fnp NPPES

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

SUNGJIN LEE FNP (NPI 1750260097) is an individual family provider in Clifton, New Jersey, licensed in New Jersey (26NJ15399400) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750260097
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSUNGJIN LEECredential: FNP
Location Address1700 STATE RT 3Clifton, NJ 07013-3928
Mailing Address1700 State Rt 3Clifton, NJ 07013-3928 · (862) 249-4901
Phone(862) 249-4901
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2025
NPPES CertifiedAugust 30, 2025
✔ NPI 1750260097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15399400
1700 STATE RT 3, Clifton, NJ 07013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sungjin Lee Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133617624
PECOS Enrollment IDI20251025000020
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 Sungjin Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gamil Makar MD LLC
1.3 mi
Family Medicine
1700 ROUTE 3 WEST
Clifton, NJ 07013
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1942242318 (862) 249-4901

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 07013 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Sungjin Lee's NPI number?

The NPI number for Sungjin Lee is 1750260097. It was assigned to this individual provider in the NPPES registry on August 30, 2025.

Where is Sungjin Lee located?

Sungjin Lee practices at 1700 State Rt 3, Clifton, NJ 07013. The listed phone number is (862) 249-4901.

What is Sungjin Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sungjin Lee enrolled in Medicare?

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

Which organization bills Medicare for Sungjin Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sungjin Lee reassigns Medicare benefits to Gamil Makar MD LLC (Clifton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sungjin Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sungjin Lee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sungjin 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 Sungjin Lee was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.