Individual provider Active NPI

Allen L Lee, MD DIPLOMATEABFP

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1003818477
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
132304 Issued in NY
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

Updated by the provider on Sep 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P1126622OtherNYOXFORD
521682OtherNYAETNA US HEALTHCARE
5726D1OtherNYEMPIREBLUECROSSBLUESHIELD
0022001OtherNYGHI

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.

Verify at the official NPI Registry.