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MYONGJA LEE
NPI 1801671490
Nurse Practitioner - Family in Leonia, NJ

Active since August 30, 2023PECOS Enrolled
311 ALLAIRE AVE, LEONIA, NJ 07605(609) 481-0347 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Myongja Lee NPPES

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

MYONGJA LEE (NPI 1801671490) is an individual family provider in Leonia, New Jersey, licensed in New Jersey (26NJ14909500) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1801671490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYONGJA LEE
Location Address311 ALLAIRE AVELeonia, NJ 07605-1802
Mailing Address311 Allaire AveLeonia, NJ 07605-1802 · (609) 481-0347
Phone(609) 481-0347
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1801671490 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 · 26NJ14909500
311 ALLAIRE AVE, Leonia, NJ 07605
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6608300801
PECOS Enrollment IDI20251119001941
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 Reassignments

2

Medicare enrollment records show Myongja Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates Of New Jersey, LLC
40 mi
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
NPI 1174187728 (877) 868-5351
Signify Health, LLC
1,374 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio and Virginia enrollments
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 07605 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 Myongja Lee's NPI number?

The NPI number for Myongja Lee is 1801671490. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Myongja Lee located?

Myongja Lee practices at 311 Allaire Ave, Leonia, NJ 07605. The listed phone number is (609) 481-0347.

What is Myongja Lee's specialty?

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

Is Myongja Lee enrolled in Medicare?

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

Which organizations bill Medicare for Myongja Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myongja Lee reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ) and Signify Health, LLC (Dallas, TX). Each 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 Myongja Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Myongja Lee accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Myongja 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 Myongja Lee was last updated on August 30, 2023. 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.