JUSTIN SEUNGIN LEE MD
NPI 1922893940
Student in an Organized Health Care Education/Training Program in Jackson, MI

Active since April 10, 2025PECOS Enrolled
205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Seungin Lee Md NPPES

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

JUSTIN SEUNGIN LEE MD (NPI 1922893940) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922893940
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN SEUNGIN LEECredential: MD
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address1620 Michigan Ave Apt 433Detroit, MI 48216-2087 · (201) 663-2515
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
NPI 1922893940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 N EAST AVE, Jackson, MI 49201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201

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 Justin Lee's NPI number?

The NPI number for Justin Lee is 1922893940. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Justin Lee located?

Justin Lee practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4800.

What is Justin Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Lee was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.