Healthcare Provider Details

I. General information

NPI: 1780501643
Provider Name (Legal Business Name): DR ISAAC LEE PAIN & INJECTION CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SYLVAN AVE STE 200
ENGLEWOOD CLIFFS NJ
07632-2506
US

IV. Provider business mailing address

800 PARK AVE APT 2401
FORT LEE NJ
07024-3777
US

V. Phone/Fax

Practice location:
  • Phone: 952-484-1534
  • Fax:
Mailing address:
  • Phone: 952-484-1534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ISAAC LEE
Title or Position: PRESIDENT
Credential: MD
Phone: 952-484-1534