Provider Demographics
NPI:1063826014
Name:LEE, JEMIUS DAE (DO)
Entity type:Individual
Prefix:
First Name:JEMIUS
Middle Name:DAE
Last Name:LEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5792
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:1080 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5201
Practice Address - Country:US
Practice Address - Phone:848-230-6800
Practice Address - Fax:848-230-6803
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2025-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10465800207P00000X
NY307840207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine