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Jaedoo Lee

Chiropractor β€’ Teaneck, NJ

Active NPI 1881057412 Individual Practitioner Male Practitioner
Practice location in NPPES

517 Cedar Ln Fl 2
Teaneck, NJ 076661710

Call 2013479393 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

517 Cedar Ln Fl 2

Teaneck, NJ 076661710

Telephone 2013479393
Organization at the Same NPPES Address or Phone
East Billow Acupuncture Pc Facility NPI 1336897214

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jaedoo Lee has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Teaneck and New Jersey

8 active clinicians are listed under Chiropractor with a practice address in Teaneck, NJ (2,911 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-28
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES NJ 38MC00733100

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Acupuncturist

NUCC Taxonomy Code: 171100000X

License # reported to NPPES NJ 25MZ00156000

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20260623002102

Enrollment State Jurisdiction

NJ

PECOS Control ID

8022581909

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 04, 2022

Registered at 517 CEDAR LN FL 2, TEANECK, NJ 076661710 (Tel: 2013479393)

πŸ“
Updated Business Mailing Address April 04, 2022

Registered at 517 CEDAR LN FL 2, TEANECK, NJ 076661710 (Tel: 2013479393)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2022

Acupuncturist (license number reported to NPPES: NJ 25MZ00156000)

βœ…
NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 31, 2016

Registered at 118 BROAD AVE, N9, PALISADES PARK, NJ 076502717 (Tel: 2014820439)

πŸ“
Business Mailing Address (Initial Record) March 31, 2016

Registered at 118 BROAD AVE STE N9, PALISADES PARK, NJ 076502721 (Tel: 2014820469)

πŸ‘€
Provider Name / Credentials (Initial Record) March 31, 2016

Recorded as JAEDOO LEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Chiropractor (license number reported to NPPES: NJ 38MC00733100)

🟒
Initial NPI Registration & Enumeration March 31, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881057412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2016
Last Update: April 04, 2022
Sole Proprietor: No

Other Chiropractors in Teaneck

Healthcare providers in Teaneck

Mailing Address

517 Cedar Ln Fl 2

Teaneck, NJ 076661710

Phone: 2013479393

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.