Seongnoh Lee, - Medicare Dentist in Hackensack, NJ

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Seongnoh Lee, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Hackensack, New Jersey. He went to University Of Detroit Mercy School Of Dentistry and graduated in 2021 and has 5 years of diverse experience with area of expertise as Oral Surgery. His current practice location is 20 Prospect Ave Ste 719, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-5002.

Seongnoh Lee is licensed to practice in New Jersey (license number 22DI03073000) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164007092.

Contact Information

Seongnoh Lee,
20 Prospect Ave Ste 719,
Hackensack, NJ 07601-1974
(551) 996-5002
(551) 996-5099

Map and Direction




Healthcare Provider's Profile

Full NameSeongnoh Lee
GenderMale
SpecialityOral Surgery
Experience5 Years
Location20 Prospect Ave Ste 719, Hackensack, New Jersey
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Seongnoh Lee attended and graduated from University Of Detroit Mercy School Of Dentistry in 2021
  NPI Data:
  • NPI Number: 1164007092
  • Provider Enumeration Date: 03/11/2021
  • Last Update Date: 03/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0648652198
  • Enrollment ID: I20260612001938

Medical Identifiers

Medical identifiers for Seongnoh Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164007092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 22DI03073000 (New Jersey)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Seongnoh Lee allows following entities to bill medicare on his behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Seongnoh Lee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Seongnoh Lee,
1441 N 12th St Fl 3,
Phoenix, AZ 85006-2837

Ph: Not Available		Seongnoh Lee,
20 Prospect Ave Ste 719,
Hackensack, NJ 07601-1974

Ph: (551) 996-5002

Reviews and Comments


Dentist in Hackensack, NJ

Dr. Nansy Hanna, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-3492    
Laura E Matos Garabitos, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-3492    
Dr. Ching Shieh,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 211 Essex St, Suite 105, Hackensack, NJ 07601
Phone: 201-342-8999    
Dr. Robert A Jaffin, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 274 State St, Hackensack, NJ 07601
Phone: 201-489-5155    Fax: 201-342-7367
Keri Forker, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-5593    
Virginia Saliba,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 35 Pangborn Place, Hackensack, NJ 07601
Phone: 201-488-8866    Fax: 201-488-7663
Sudipta Saxena, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 248 1st St, Hackensack, NJ 07601
Phone: 201-883-1886    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.