JENNIE LEE
NPI 1851788012
Dentist - Pediatric Dentistry in Cranford, NJ

Active since April 24, 2015Opted out of Medicare · through Jul 8, 2028
1130 RARITAN RD STE 1, CRANFORD, NJ 07016(908) 418-4215 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jennie Lee NPPES

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

JENNIE LEE (NPI 1851788012) is an individual pediatric dentistry provider in Cranford, New Jersey, licensed in New Jersey (22DI02639605) and active in the NPI registry since April 2015. She has opted out of Medicare through July 8, 2028 and remains eligible to order and refer and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1851788012
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJENNIE LEE
Location Address1130 RARITAN RD STE 1Cranford, NJ 07016-3378
Mailing Address1130 Raritan Rd Ste 1Cranford, NJ 07016-3378 · (908) 418-4215
Sole ProprietorNo
Enumeration DateApril 24, 2015
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1851788012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NJ · 22DI02639605
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1130 RARITAN RD STE 1, Cranford, NJ 07016

Secondary Practice Location 1

Location 1110 Bergen St., Room D716Newark, NJ 07101-1709 · Phone (973) 972-4621

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennie Lee has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2022 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2022
Opt-Out In Effect ThroughJuly 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07016 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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

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

Specialist
1130 RARITAN RD STE 1
CRANFORD, NJ 07016

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 Jennie Lee's NPI number?

The NPI number for Jennie Lee is 1851788012. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Jennie Lee located?

Jennie Lee practices at 1130 Raritan Rd Ste 1, Cranford, NJ 07016. The listed phone number is (908) 418-4215.

What is Jennie Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jennie Lee enrolled in Medicare?

No. Jennie Lee has opted out of Medicare through July 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jennie Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jennie 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 Jennie Lee was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.