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Matthew Jon Lee

Student in an Organized Health Care Education/Training Program in Englewood, NJ. Individual provider (NPI-1).

NPI number1831983758
StatusActive
Last updated in NPPESApr 7, 2025

Details

NPI
1831983758
Entity type
Individual (NPI-1)
Name
Matthew Jon Lee
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2025
Certification date
Apr 7, 2025
Last updated
Apr 7, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

350 Engle St
Englewood, NJ 07631-1808

Phone 201-894-3143

Mailing address

1 Reiner Pl
Englewood Cliffs, NJ 07632-2033

Phone 201-390-9028

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Englewood, NJ

All 85 Student in an Organized Health Care Education/Training Program providers in Englewood · All 1,946 providers in Englewood

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