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Deactivated NPI 1487612875 Deactivated / Inactive NPI Male Practitioner

Chang Hoon Lee

Surgery • Cranford, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Chang Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2006
NPI Deactivation Date January 22, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Chang Lee was a registered Surgery practicing in Cranford, NJ. Throughout an active medical career spanning 15 years, Chang Lee provided care at the practice location at 19 HOLLY ST until profile deactivation on 2021-01-22.

Practice Location & Contact Primary Location

Practice Address

19 Holly St

Cranford, NJ 070162158

Telephone 9082760025
Fax 9082764302
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cranford, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Cranford, NJ (815 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA02306700

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Mahesh Shah , MD

Obstetrics & Gynecology - Gynecology

NPI 1053451492

Doctor of Medicine (M.D.)

Janet Weinstein , RN

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1053495903

Registered Nurse

Dr. Abraham Samansky , DDS

Dentist - Endodontics

NPI 1053518654

Doctor of Dental Surgery

Orlando Calvo

Counselor - Professional

NPI 1073020921
Christine Scally , LCSW

Social Worker - Clinical

NPI 1417025156

Licensed Clinical Social Worker

NPI 1477768794

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2021

Record deactivated on January 22, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 19 HOLLY ST, CRANFORD, NJ 070162158 (Tel: 9082760025)

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Updated Business Mailing Address July 08, 2007

Registered at 19 HOLLY ST, CRANFORD, NJ 070162158 (Tel: 9082760025)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHANG LEE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #25MA02306700 in NJ)

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Initial NPI Registration & Enumeration May 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487612875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: July 08, 2007
Deactivation Date: January 22, 2021

Mailing Address

19 Holly St

Cranford, NJ 070162158

Phone: 9082760025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.