Individual provider Active NPI

Michael Lee, DO

  • Hospitalist Physician
  • Stratford, NJ
National Provider Identifier
1053993626
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MB12281400 Issued in NJ
Practice address
1 Medical Center Dr Ste 162
Stratford, NJ 08084-1500
Phone
(856) 566-2753
NPI assigned
Apr 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25MB12281400 NJ Primary

Addresses

Primary practice location

1 Medical Center Dr Ste 162
Stratford, NJ 08084-1500

Mailing address

301 Lippincott Drive, Suite 410
Marlton, NJ 08053
Phone (856) 355-0340

Other practice location 1

1600 Haddon Ave, 6th Floor Main
Camden, NJ 08103
Phone (856) 757-3500

Other practice location 2

218 Sunset Rd., Floor 5
Willingboro, NJ 08046
Phone (609) 444-0359

Other practice location 3

90 Brick Road, Floor 3
Marlton, NJ 08053
Phone (856) 355-6000

Other practice location 4

175 Madison Ave Fl 1
Mount Holly, NJ 08060-2038
Phone (609) 914-6000

Other practice location 5

100 Bowman Drive, Lower Level 1
Voorhees, NJ 08043
Phone (856) 247-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241230003550 NJ Practitioner - Internal Medicine 7810424025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1600 Haddon Ave
Camden, NJ 08103-3101

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12281400NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 10, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 10, 2025 Accepting new patients
Virtua Medical Group, PA Hospitalist Current Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000

100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000

218 Sunset Rd
Fl 5
Willingboro, NJ 08046
Phone (609) 444-0359

Interoperability endpoints

  • Direct secure messaging: mlee197833@directvirtua.org

Organizations & group practices 3

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 3

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1053993626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DRIVE, SUITE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR STE 162",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841500",
            "telephone_number": "856-566-2753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Haddon Ave, 6th Floor Main",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Sunset Rd., Floor 5",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "08046",
            "country_code": "US",
            "telephone_number": "609-444-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Brick Road, Floor 3",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "609-914-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Drive, Lower Level 1",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-247-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MB12281400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.