Keun Lee, MD is a
General Practice physician based in Old Tappan, New Jersey. Keun Lee is licensed to practice in New York (license number 308187) and his current practice location is 29 Foxwood Sq S, Old Tappan, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 956-0651.
NPI number for Keun Lee is 1871080317 and his current mailing address is 29 Foxwood Sq S, Old Tappan, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871080317.
Physician's Profile
Full Name | Keun Lee |
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Gender | Male |
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Speciality | General Practice |
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Location | 29 Foxwood Sq S, Old Tappan, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871080317
- Provider Enumeration Date: 04/19/2018
- Last Update Date: 01/10/2021
Medical Identifiers
Medical identifiers for Keun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871080317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 308187 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keun Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keun Lee, MD 29 Foxwood Sq S, Old Tappan, NJ 07675-7358 Ph: (201) 956-0651 | Keun Lee, MD 29 Foxwood Sq S, Old Tappan, NJ 07675-7358 Ph: (201) 956-0651 |
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