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Dr. Katelyn Eunji Lee , DDS

Dentist β€’ Brooklyn, NY

Active NPI 1699520338 Individual Practitioner Female Practitioner
Practice location in NPPES

1456 Fulton St
Brooklyn, NY 112162505

Call 7186364500 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

1456 Fulton St

Brooklyn, NY 112162505

Telephone 7186364500
Fax 3472968332
Organization at the Same NPPES Address or Phone
Bedford Stuyvesant Family Health Center, Inc. Facility NPI 1033178561

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Houston, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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)

Dr. 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

Can order Medicare-covered services

CMS lists Dr. Lee as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

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

Guide: What ordering and referring status means

Compared with the same specialty in Brooklyn and New York

659 active clinicians are listed under Dentist with a practice address in Brooklyn, NY (5,924 in New York).

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

Telehealth indicator in Brooklyn

0% of these 659 clinicians have the CMS telehealth indicator.

0.3% of these 659 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-10-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES NY 064651

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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 York Office of the Professions.
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 - DENTIST

Medicare Enrollment ID

I20251107002918

Enrollment State Jurisdiction

NY

PECOS Control ID

7113417031

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

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

Secondary Practice Locations

6410 Fannin St Ste 310

Houston, TX 770303004

Phone: 7135005819

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Michael Agyeman , FNP

Nurse Practitioner - Family

NPI 1427377761

Family Nurse Practitioner

Dr. Chloe Andrews , DMD

Dentist - General Practice

NPI 1528694551

Doctor of Dental Medicine

NPI 1750767570
Kathleen Bernock , FNP

Nurse Practitioner - Family

NPI 1972934503

Family Nurse Practitioner

Judith Casanova , PA

Physician Assistant

NPI 1467617688

Physician Assistant

Michelle Chau

Dietitian, Registered

NPI 1093483117

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location October 30, 2025

Registered at 1456 FULTON ST, BROOKLYN, NY 112162505 (Tel: 7186364500)

πŸ“
Updated Business Mailing Address October 30, 2025

Registered at 1456 FULTON ST, BROOKLYN, NY 112162505 (Tel: 7186364500)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Dentist (license number reported to NPPES: NY 064651)

πŸ“
Updated Business Mailing Address August 17, 2025

Registered at 400 E 71ST ST APT 6B, NEW YORK, NY 100214810

πŸ‘€
Provider Name / Credentials Updated August 17, 2025

Recorded as KATELYN LEE, DDS

βœ…
NPI Profile Active April 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2024

Registered at 6410 FANNIN ST STE 310, HOUSTON, TX 770303004 (Tel: 7135005819)

πŸ“
Business Mailing Address (Initial Record) April 17, 2024

Registered at 6410 FANNIN ST STE 310, HOUSTON, TX 770303004

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2024

Recorded as KATELYN LEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 17, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699520338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2024
Last Update: October 30, 2025
Sole Proprietor: No

Other Dentists in Brooklyn

All Dentists in Brooklyn

Mailing Address

1456 Fulton St

Brooklyn, NY 112162505

Phone: 7186364500

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.