Comprehensive Medical PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

186405 Issued in NY

Legal business name

COMPREHENSIVE MEDICAL PC

Practice address

1649 Deer Park Ave
Deer Park, NY 11729-5202

Phone

(631) 667-8178

Fax

(631) 667-3859

NPI assigned

Dec 27, 2007

Last updated

May 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin S Lee, M.D.NPI 1003976077

Title

M.D.

Phone

(631) 667-8178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin S Lee, MD

  • Cardiovascular Disease Physician
  • Deer Park, NY
  • NPI 1003976077
  Medicare reassignment NPD Authorized official
• Stephen S Lee, MD

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1194883991
  Medicare reassignment

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1073797981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295202",
            "telephone_number": "631-667-8178",
            "fax_number": "631-667-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295202",
            "telephone_number": "631-667-8178",
            "fax_number": "631-667-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "631-667-8178",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "186405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.