Active NPIIndividual provider

Dr. Edward S Lee, MD

Surgery, Plastic and Reconstructive Surgery in Newark, New Jersey

NPI Number1629265657
Practice location
140 Bergen St Ste E1620, Newark, NJ 07103-2425
Fax
973-972-8268
Last updated
October 13, 2022

Edward Sang Keun Lee is a Surgery, Plastic and Reconstructive Surgery based in Newark, NJ. Edward Sang Keun Lee practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Edward Sang Keun Lee is 1629265657 and holds a License No. 249420-1 (NY). The current practice location address for Edward Sang Keun Lee is 140 Bergen St Ste E1620, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-5377 and via fax at 973-972-8268.

Provider Profile Details

NPI Number
1629265657
Provider Name
Edward Sang Keun Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
140 Bergen St Ste E1620, Newark, NJ 07103-2425
Phone Number
973-972-5377
Fax Number
973-972-8268
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2007
Last Update Date
October 13, 2022
Certification Date
October 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Bergen St Ste E1620
Newark, NJ 07103-2425
City
Newark
Zip
07103-2425
Phone Number
973-972-5377
Fax Number
973-972-8268
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
140 Bergen St Ste E1620
Newark, NJ 07103-2425
City
Newark
State
NJ
Zip
07103-2425
Phone Number
973-972-5377
Fax Number
973-972-8268

License Information

License Number (1)
249420-1
License State (1)
NY
Taxonomy (1)
Plastic Surgery · 208200000X
License Number (2)
25MA08409800
License State (2)
NJ
Taxonomy (2)
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Edward S Lee, MD?

The NPI number of Dr. Edward S Lee, MD is 1629265657. It was assigned on October 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward S Lee, MD?

Dr. Edward S Lee, MD is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in NY under license number 249420-1.

Where does Dr. Edward S Lee, MD practice?

The practice location is 140 Bergen St Ste E1620, Newark, NJ 07103-2425. The office can be reached at 973-972-5377 (phone) or 973-972-8268 (fax).

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 1629265657 directly on the NPPES registry website.

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