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

Jae Yoon Lee, MD

Individual provider Cardiovascular Disease Physician · NPI 1609984814

Jae Yoon Lee, MD is a Cardiovascular Disease (Cardiology) in South Ozone Park, New York. Qualified in 1980, 46 years ago. Practices with Vantage Medical Associates PC, a 85-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Licensed in
NY
In the registry since
2006
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

13124 Rockaway Blvd
South Ozone Park, NY 11420-2932
Phone: (718) 659-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 164410 (NY)

Record details

NPI number1609984814
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESOctober 3, 2013

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Vantage Medical Associates Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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