Individual provider Active NPI

Elizabeth Leilani Lee, M.D.

  • Internal Medicine Physician
  • Camden, NJ
National Provider Identifier
1023261112
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA10734400 Issued in NJ
Practice address
3 Cooper PLZ RM 104
Camden, NJ 08103-1407
Phone
(856) 968-8695
NPI assigned
Nov 3, 2008
Last updated
Mar 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD439282 PA
Internal Medicine Physician 207R00000X 25MA10734400 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 104
Camden, NJ 08103-1407

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

3322 N Broad St
Philadelphia, PA 19140-5185
Phone (217) 707-1800

Other identifiers 1

IdentifierTypeStateIssuer
MD439282OtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000807 PA Practitioner - Internal Medicine 8022132554 Reassigns benefits to 1 organization
I20200113000775 NJ Practitioner - Internal Medicine 8022132554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
Camden, NJ 08103-1438

390 N Broadway
Suite 100
Pennsville, NJ 08070-1253
Phone (856) 678-6411

504 White Horse Pike
Haddon Heights, NJ 08035-1709
Phone (856) 546-7990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine PC CurrentSince Apr 1, 2021 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 11, 2019 Accepting new patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Nov 17, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 11, 2019 Accepting new patients
Cooper Family Medicine, PC CurrentSince Apr 1, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

6 Earlin Ave
Ste 240
Browns Mills, NJ 08015
Phone (609) 303-4560

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

1316 W Ontario St
Fl 1
Philadelphia, PA 19140
Phone (215) 707-7901

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3322 N Broad St
Philadelphia, PA 19140
Phone (215) 707-4000

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Interoperability endpoints

  • Direct secure messaging: elee94024@direct.cooperhealth.edu

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1023261112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 104",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031407",
            "telephone_number": "856-968-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405185",
            "country_code": "US",
            "telephone_number": "217-707-1800",
            "fax_number": "215-707-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "middle_name": "LEILANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD439282",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10734400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD439282",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.