DR. EDWARD SANG KEUN LEE (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1629265657
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
245 PLASTIC AND RECONSTRUCTIVE SURGERY in NJ
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Provider Addresses for DR. EDWARD SANG KEUN LEE (M.D.)
1166, St. George's Avenue, Colonia, Woodbridge, Woodbridge Township, Middlesex County, New Jersey, 07001, United States
AVENEL, NJ 070011263
Phone: (201) 585-9005
Fax: (201) 585-9006
Type: Location
1166 Saint Georges Ave
Avenel, NJ 070011263
Phone: (201) 585-9005
Fax: (201) 585-9006
Type: Location
140 BERGEN ST STE E1620
NEWARK, NJ 071032425
Phone: (973) 972-5377
Fax: (973) 972-8268
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $13,694.
Total Amount is formed as General ($13,694) + Research ($0) + Ownership ($0) = $13,694.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($4,817).
Total Amount
$13,694
General + Research + Ownership
Payments
50
Total payment records
General Amount
$13,694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Musculoskeletal Transplant Foundation Inc. | $4,817 |
| PolyNovo North America LLC | $3,556 |
| ABBVIE INC. | $2,723 |
| TELA Bio, Inc. | $1,387 |
| Innovation Technologies Inc | $216 |
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: 2008-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081104000046 | I | Plastic And Reconstructive Surgery | NJ | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | NJ | |
| Nephrology, Internal Medicine | NJ | |
| Interventional Radiology, Diagnostic Radiology | NJ | |
| General Surgery | NJ | |
| Vascular Surgery, General Surgery | NJ | |
| P A T H O L O G Y | NY | |
| Internal Medicine | NJ | |
| - | NJ | |
| O T O L A R Y N G O L O G Y | NJ |
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