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MS. EUN JU LEE
NPI 1841777299
Nurse Practitioner - Family in Fort Lee, NJ

Active since July 27, 2018PECOS EnrolledAccepts Medicare Assignment
2100 LINWOOD AVE APT 14D, FORT LEE, NJ 07024(201) 315-2296 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2020, May 20, 2020, Dec 18, 2019 and 2 more (5 updates tracked since 2018).

About Ms. Eun Ju Lee NPPES

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

MS. EUN JU LEE (NPI 1841777299) is an individual family provider in Fort Lee, New Jersey, licensed in New York (F339115) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1841777299
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. EUN JU LEE
Location Address2100 LINWOOD AVE APT 14DFort Lee, NJ 07024-3140
Mailing Address2100 Linwood Ave Apt 14dFort Lee, NJ 07024-3140 · (718) 640-7045
Phone(201) 315-2296
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 27, 2018
Last NPPES UpdateNovember 25, 20205 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1841777299 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 NY · F339115
2100 LINWOOD AVE APT 14D, Fort Lee, NJ 07024
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Eun Ju Lee 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 ID8224377312
PECOS Enrollment IDI20190307001696
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 Eun Ju Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Divinity Medical Services PLLC
31 mi
Urgent Care
3379 CROMPOND RD
Yorktown Heights, NY 10598
  • Reassigned Medicare billing, New York enrollment
  • 149 clinicians in this Medicare group
NPI 1497159560 (914) 844-9803

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 07024 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 Eun Ju Lee's NPI number?

The NPI number for Eun Ju Lee is 1841777299. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Where is Eun Ju Lee located?

Eun Ju Lee practices at 2100 Linwood Ave Apt 14D, Fort Lee, NJ 07024. The listed phone number is (201) 315-2296.

What is Eun Ju Lee's specialty?

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

Is Eun Ju Lee enrolled in Medicare?

Yes. Eun Ju 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.

Which organization bills Medicare for Eun Ju Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eun Ju Lee reassigns Medicare benefits to Divinity Medical Services PLLC (Yorktown Heights, NY). 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 Eun Ju Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eun Ju Lee was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.