Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kiwon Lee, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1710908322

Dr. Kiwon Lee, MD is a Neurology in Summit, New Jersey. Qualified in 1990, 36 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New Jersey and Texas.

Years since qualifying
36
Licensed in
NJ, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone: (908) 522-2829
Fax: (908) 522-6417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 25MA09016800 (NJ)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence P2717 (TX)
Neurology Physician Taxonomy 2084N0400X · Licence P2717 (TX)

Record details

NPI number1710908322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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