Seongnoh Lee
NPI 1164007092 · Oral and Maxillofacial Surgery (Dentist) · Hackensack, NJ
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seongnoh Lee is a Oral and Maxillofacial Surgery (Dentist) provider in Hackensack, NJ (NPI 1164007092).
Provider details
- NPI number
- 1164007092
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI03073000 (NJ)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Chlorhexidine Gluconate | 17 | 16 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (3)
- 1441 N 12th St Fl 3Phoenix, AZ 85006-2837Phone: (602) 521-5977
- 102 James St Ste 201Edison, NJ 08820-3970Phone: (551) 996-5002Fax: (551) 996-5099
- 110 Bergen StNewark, NJ 07103-2495Phone: (973) 972-4242
Registry dates
- Enumerated
- 2021-03-11
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Seongnoh Lee's NPI number?
- Seongnoh Lee's National Provider Identifier (NPI) is 1164007092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seongnoh Lee's specialty?
- Seongnoh Lee is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Seongnoh Lee located?
- Seongnoh Lee's practice location on file with NPPES is 20 Prospect Ave Ste 719, Hackensack, NJ 07601-1974.
- What is Seongnoh Lee's phone number?
- The practice phone number listed in the NPPES registry for Seongnoh Lee is (551) 996-5002.
- Does Seongnoh Lee accept Medicare?
- Seongnoh Lee is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Seongnoh Lee's NPI active?
- Yes — Seongnoh Lee's NPI (1164007092) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.