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

MS. Eun Ju Lee

Individual provider Family Nurse Practitioner · NPI 1841777299

MS. Eun Ju Lee is a Nurse Practitioner in Fort Lee, New Jersey. Qualified in 2014, 12 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

2100 Linwood Ave Apt 14D
Fort Lee, NJ 07024-3140
Phone: (201) 315-2296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339115 (NY)

Record details

NPI number1841777299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2018
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address2100 Linwood Ave Apt 14d, Fort Lee, NJ 07024-3140

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 Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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