DR. KIWON LEE M.D. NPI 1710908322

NPI Information

  • NPI: 1710908322
  • Provider Name: DR. KIWON LEE, M.D.
  • Classification: Psychiatry & Neurology - 2084V0102X
  • Specialization: Vascular Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 99 BEAUVOIR AVE
    SUMMIT, NJ
    ZIP 07901
  • Phone: (908) 522-2829

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NPI Details

DR. Kiwon Lee, M.D. is a vascular neurology psychiatry neurology in Summit, NJ with 36 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. DR. Kiwon Lee, M.D. NPI is 1710908322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 BEAUVOIR AVE
SUMMIT, NJ
ZIP 07901-533
Phone: (908) 522-2829
Fax: (908) 522-6417

The NPI 1710908322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Critical care, each additional 30 minutes (HCPCS:99292)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 6/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineP2717TEXASNo
22084N0400XPsychiatry & NeurologyNeurologyP2717TEXASNo
32084V0102XPsychiatry & NeurologyVascular Neurology25MA09016800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18DJ101OTHERTEXASBCBSTX PROV REC #
2302502501MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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