Provider Demographics
NPI:1851324792
Name:LEE, HYEJIN ROBIN (DO)
Entity Type:Individual
Prefix:DR
First Name:HYEJIN
Middle Name:ROBIN
Last Name:LEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:19 LONGVIEW CT
Mailing Address - Street 2:
Mailing Address - City:OLD TAPPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-7480
Mailing Address - Country:US
Mailing Address - Phone:201-833-7271
Mailing Address - Fax:201-833-7180
Practice Address - Street 1:94 OLD SHORT HILLS RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-5437
Practice Address - Fax:973-322-8833
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2002242080N0001X
NJ25MB067589002080N0001X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02285096Medicaid
NJ0009423Medicaid