Individual provider Active NPI

Joon Pyo Lee

  • Physician Assistant
  • Lansdale, PA
National Provider Identifier
1033899786
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064805 Issued in PA
Practice address
100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone
(215) 368-2100
NPI assigned
Jul 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA064805 PA Primary

Addresses

Primary practice location

100 Medical Campus Dr
Lansdale, PA 19446-1259

Mailing address

70 Highgate LN
Blue Bell, PA 19422-2156
Phone (267) 475-8891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113003614 PA Practitioner - Physician Assistant 8123475126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone (215) 361-4854

1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222

Hospital & facility affiliations

  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA064805PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Oct 2, 2023 Accepting new patients
Abington Memorial Hospital CurrentSince Oct 2, 2023 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1033899786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HIGHGATE LN",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222156",
            "telephone_number": "267-475-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CAMPUS DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461259",
            "telephone_number": "215-368-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOON",
        "middle_name": "PYO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.