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Deactivated NPI 1245531458 Deactivated / Inactive NPI Female Practitioner

Hae Soon Lee

Licensed Practical Nurse • Fort Lee, 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, Hae Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 04, 2010
NPI Deactivation Date March 08, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Hae Lee was a registered Licensed Practical Nurse practicing in Fort Lee, NJ. Throughout an active medical career spanning 13 years, Hae Lee provided care at the practice location at 1515 9TH ST until profile deactivation on 2023-03-08.

Practice Location & Contact Primary Location

Practice Address

1515 9th St

Fort Lee, NJ 07024

Telephone 2019720075

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Lee, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Fort Lee, NJ (1119 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 302849-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated March 08, 2023

Record deactivated on March 08, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2023

Licensed Practical Nurse (License #302849-1 in NY)

NPI Profile Active November 04, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 04, 2010

Registered at 1515 9TH ST, FORT LEE, NJ 07024 (Tel: 2019720075)

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Updated Business Mailing Address November 04, 2010

Registered at 1515 9TH ST, FORT LEE, NJ 07024 (Tel: 2019720075)

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Provider Name / Credentials Updated November 04, 2010

Recorded as HAE LEE

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2010

Licensed Practical Nurse (License #302849-1 in NY)

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Initial NPI Registration & Enumeration November 04, 2010

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: 1245531458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2010
Last Update: November 04, 2010
Deactivation Date: March 08, 2023

Mailing Address

1515 9th St

Fort Lee, NJ 07024

Phone: 2019720075

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.