Young Ju Lee, MD
Internal Medicine in Montclair, New Jersey
1376037457- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 973-429-6000
- Fax
- —
- Last updated
- January 13, 2025
Young Ju Lee is an Internal Medicine based in Montclair, NJ. Young Ju Lee practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Young Ju Lee is 1376037457 and holds a License No. MD473797 (PA). The current practice location address for Young Ju Lee is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6000.
Provider Profile Details
- NPI Number
- 1376037457
- Provider Name
- Young Ju Lee
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 973-429-6000
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2018
- Last Update Date
- January 13, 2025
- Certification Date
- January 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 973-429-6000
Provider Business Mailing Address Details
- Address
- 154 Hawthorne Ave
Springfield, NJ 07081-2102 - City
- Springfield
- State
- NJ
- Zip
- 07081-2102
- Phone Number
- 723-476-9040
License Information
- License Number (1)
- MD473797
- License State (1)
- PA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 25MA11854100
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Young Ju Lee, MD?
The NPI number of Young Ju Lee, MD is 1376037457. It was assigned on June 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Young Ju Lee, MD?
Young Ju Lee, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PA under license number MD473797.
Where does Young Ju Lee, MD practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376037457 directly on the NPPES registry website.