Jonathan M Lee LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

72678 Issued in MA

Legal business name

JONATHAN M LEE LLC

Practice address

200 Providence Hwy
Suite 202-203
Dedham, MA 02026-1881

Phone

(781) 326-1464

Fax

(781) 326-9075

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Mark Lee, M.D.NPI 1003917626

Title

Internist

Phone

(781) 326-1464

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan M Lee, M.D.

  • Internal Medicine Physician
  • Jamaica Plain, MA
  • NPI 1003917626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1023312584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 202-203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-326-1464",
            "fax_number": "781-326-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROVIDENCE HWY",
            "address_2": "SUITE 202-203",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261881",
            "telephone_number": "781-326-1464",
            "fax_number": "781-326-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN M LEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "781-326-1464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3062601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JMB Dental PLLC
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• Meghan Burke Johnson, PT, DPT, CSCS
• Jehane C Johnston, MD
• Ricky L Jones
• Alexandra Jordankova
• Sabrina Joseph, LCSW
• Judy Brasier DO, LLC
• Rosalind Kahan

• Internal Medicine Physician in Dedham, MA
• Providers in Dedham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.