Active NPI
Matthew A Lee, DMD
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1053995167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 200 E 94TH St Apt 1811
Apt 1811
New York, NY 10128 - Phone
- (917) 359-1888
- NPI assigned
- May 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
200 E 94TH St Apt 1811
Apt 1811
New York, NY 10128
Mailing address
200 E 94TH St
Apt 1811
New York, NY 10128
Other practice location 1
185 Park Row
Apt 13A
New York, NY 10038
Phone (917) 359-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1053995167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 94TH ST",
"address_2": "APT 1811",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 94TH ST APT 1811",
"address_2": "APT 1811",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "917-359-1888"
}
],
"practiceLocations": [
{
"address_1": "185 Park Row",
"address_2": "Apt 13A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10038",
"country_code": "US",
"telephone_number": "917-359-1888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MATTHEW",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2021-05-06",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.