Active NPI 1871080317 Individual Practitioner Male Practitioner

Dr. Keun Lee , MD

General Practice • Old Tappan, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Keun Lee, MD is a registered healthcare professional specializing in General Practice in Old Tappan, NJ. Practice services are available at 29 FOXWOOD SQ S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29 Foxwood Sq S

Old Tappan, NJ 076757358

Telephone 2019560651

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Old Tappan, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Old Tappan, NJ (269 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

CMS Verified: 2021-01-10

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 308187

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 10, 2021

Registered at 29 FOXWOOD SQ S, OLD TAPPAN, NJ 076757358 (Tel: 2019560651)

📍

Updated Business Mailing Address January 10, 2021

Registered at 29 FOXWOOD SQ S, OLD TAPPAN, NJ 076757358 (Tel: 2019560651)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2021

General Practice (License #308187 in NY)

✅

NPI Profile Active April 19, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2018

Registered at 20900 BISCAYNE BLVD, AVENTURA, FL 331801407 (Tel: 3056827000)

📍

Updated Business Mailing Address April 19, 2018

Registered at 20900 BISCAYNE BLVD, AVENTURA, FL 331801407 (Tel: 3056827000)

👤

Provider Name / Credentials Updated April 19, 2018

Recorded as KEUN LEE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2018

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1871080317

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 19, 2018

Last Update: January 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

29 Foxwood Sq S

Old Tappan, NJ 076757358

Phone: 2019560651

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.