JAEDOO LEE
NPI 1881057412
Chiropractor in Teaneck, NJ
About Jaedoo Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAEDOO LEE (NPI 1881057412) is an individual chiropractor in Teaneck, New Jersey, licensed in New Jersey (38MC00733100) and active in the NPI registry since March 2016. He is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Jaedoo 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.
Medicare Billing Reassignment
Medicare enrollment records show Jaedoo Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ridgefield, NJ 07657
- Reassigned Medicare billing, New Jersey enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaedoo Lee's NPI number?
The NPI number for Jaedoo Lee is 1881057412. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Jaedoo Lee located?
Jaedoo Lee practices at 517 Cedar Ln Fl 2, Teaneck, NJ 07666. The listed phone number is (201) 347-9393.
What is Jaedoo Lee's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jaedoo Lee enrolled in Medicare?
Yes. Jaedoo 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 Jaedoo Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaedoo Lee reassigns Medicare benefits to Abcmc Chiropractic PC (Ridgefield, 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 Jaedoo Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaedoo Lee accept?
Health plans from Providence Health Plan list Jaedoo 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 Jaedoo Lee was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jaedoo Lee · NPI 1881057412
Chiropractor provider in Teaneck, New Jersey. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1881057412 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 38MC00733100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 517 CEDAR LN FL 2, Teaneck, NJ 07666-1710
- **Phone:** (201) 347-9393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Abcmc Chiropractic PC (NPI 1043178817, Ridgefield, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** April 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1881057412) · Data from the CMS NPPES public registry.