YONGSOO LEE (NP-C) – Nurse Practitioner, NPI 1356971246

YONGSOO LEE (NP-C) is a healthcare provider. based in Little ferry, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 26NJ01009600 (NJ). The NPI Number for YONGSOO LEE (NP-C) is 1356971246

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
YONGSOO LEE (NP-C)
NPI
1356971246
Phone
(316) 708-9379
Address
291 LIBERTY ST APT 49
Enumeration Date
20 January 2020
Last Update Date
20 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739426005
Graduation Year
2019 (7 years ago)
PAC ID
8527451590
Group Practice PAC ID
0345299947
Professional Enrollment ID
I20220216000005
Address ID
NJ074702033WA510XXTPKE301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for YONGSOO LEE (NP-C)

  • 291 LIBERTY ST APT 49

    LITTLE FERRY, NJ 076431368

    Phone: (316) 708-9379

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,355.

Total Amount is formed as General ($1,355) + Research ($0) + Ownership ($0) = $1,355.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($256).

Total Amount

$1,355

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,355

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220216000005INurse PractitionerNJTBD
I20230413002522INurse PractitionerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8582$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 07643)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345299947View full group profile

Reviews

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Frequently asked questions

Is there an official ID for YONGSOO LEE (NP-C) in U.S. healthcare records?
The official identifier for YONGSOO LEE (NP-C) is NPI 1356971246.
Would YONGSOO LEE (NP-C) appear as active to a payer?
You can treat YONGSOO LEE (NP-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to YONGSOO LEE (NP-C)?
YONGSOO LEE (NP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is YONGSOO LEE (NP-C) associated with Little Ferry?
Public fields place YONGSOO LEE (NP-C) around Little Ferry, New Jersey. Always confirm the exact site before visiting.
Can I trust this NPI listing for YONGSOO LEE (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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