Organization Active NPI

Alice K. Lee, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Flushing, NY
National Provider Identifier
1013699479
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ALICE K. LEE, M.D.
Practice address
13630 Maple Ave Ste 1F
Flushing, NY 11355-3866
Phone
(718) 321-2122
Fax
(718) 321-0148
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Alice K Lee, MDNPI 1275573990
Title
Owner
Phone
(718) 321-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

13630 Maple Ave Ste 1F
Flushing, NY 11355-3866

Mailing address

PO Box 527823
Flushing, NY 11352-7823
Phone (718) 321-2122

National Provider Directory

National Provider Directory

Locations

13630 Maple Ave
Ste 1F
Flushing, NY 11355
Phone (718) 321-2122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1013699479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527823",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113527823",
            "telephone_number": "718-321-2122",
            "fax_number": "718-321-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553866",
            "telephone_number": "718-321-2122",
            "fax_number": "718-321-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE K. LEE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-2122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.