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

Jeongjin Lee

Individual provider Adult Health Nurse Practitioner · NPI 1891188033

Jeongjin Lee is a Nurse Practitioner in Rochester, New York. Qualified in 2014, 12 years ago. Practices with Alice Hyde Medical Center, a 84-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

1160 Chili Ave Ste 200
Rochester, NY 14624-3035
Phone: (585) 500-4814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 307171 (NY)

Record details

NPI number1891188033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2015
Last updated in NPPESMarch 12, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Alice Hyde Medical Center — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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