Active NPI
Allen L Lee, MD DIPLOMATEABFP
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1003818477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 132304
- Practice address
- 433 72ND St
Brooklyn, NY 11209-1604 - Phone
- (718) 748-1320
- Fax
- (718) 321-0341
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 132304 | NY | Primary |
Addresses
Primary practice location
433 72ND St
Brooklyn, NY 11209-1604
Mailing address
433 72ND St
Brooklyn, NY 11209-1604
Phone (718) 748-1320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1126622 | Other | NY | OXFORD |
| 521682 | Other | NY | AETNA US HEALTHCARE |
| 5726D1 | Other | NY | EMPIREBLUECROSSBLUESHIELD |
| 0022001 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1003818477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 72ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091604",
"telephone_number": "718-748-1320",
"fax_number": "718-921-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 72ND ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091604",
"telephone_number": "718-748-1320",
"fax_number": "718-321-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALLEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD DIPLOMATEABFP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "132304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1126622",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "521682",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIREBLUECROSSBLUESHIELD",
"identifier": "5726D1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0022001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.