Jisoo Lee, M.D.
NPI 1174456743 · Student in an Organized Health Care Education/Training Program · Staten Island, NY
Jisoo Lee, M.D. is a Student in an Organized Health Care Education/Training Program provider in Staten Island, NY (NPI 1174456743).
Provider details
- NPI number
- 1174456743
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
Frequently asked questions
- What is Jisoo Lee's NPI number?
- Jisoo Lee's National Provider Identifier (NPI) is 1174456743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jisoo Lee's specialty?
- Jisoo Lee is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jisoo Lee located?
- Jisoo Lee's practice location on file with NPPES is 355 Bard Avenue, Department of Medicine, Villa Bldg 1st, Staten Island, NY 10310.
- What is Jisoo Lee's phone number?
- The practice phone number listed in the NPPES registry for Jisoo Lee is (718) 818-2419.
- Is Jisoo Lee's NPI active?
- Yes — Jisoo Lee's NPI (1174456743) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.