Individual provider Active NPI

Gabriela N Lee, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1013031350
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041133 Issued in NY
Practice address
1 Rockefeller PLZ
Suite 2223
New York, NY 10020-2003
Phone
(212) 581-2442
Fax
(212) 581-3051
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041133 NY Primary

Addresses

Primary practice location

1 Rockefeller PLZ
Suite 2223
New York, NY 10020-2003

Mailing address

1 Rockefeller PLZ
Suite 2223
New York, NY 10020-2003
Phone (212) 581-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001375 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6002105079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041133NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LLM Dental Associates, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013031350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROCKEFELLER PLZ",
            "address_2": "SUITE 2223",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202003",
            "telephone_number": "212-581-2442",
            "fax_number": "212-581-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROCKEFELLER PLZ",
            "address_2": "SUITE 2223",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100202003",
            "telephone_number": "212-581-2442",
            "fax_number": "212-581-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GABRIELA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.