Gina Lee, PMHNP-BC &ANP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402513-1 Issued in NY

Practice address

5836 254TH St
Little Neck, NY 11362-2124

Phone

(917) 566-7645

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glee73173@direct.medisys.org

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.

• Silverlife NP in Adult Health P.C.

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1699314179

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Ny Priority Medical Care PLLC

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1144506056

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1083037964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 171ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582209",
            "telephone_number": "917-566-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 254TH ST",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622124",
            "telephone_number": "917-566-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GINA",
        "credential": "PMHNP-BC &ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402513-1",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306733-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04030104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Landa, M.S., CCC-SLP
• Jean Lavelle, NP
• Kia Lazar, PT
• Dongguen Lee
• Elsa Lee, PH.D.
• Ji Won Lee
• Nancy Lee
• Jamie Kay Lemon, PHD, D(ABMM)
• Aline Marie Lennon, NP
• Cynthia C Leung, D.D.S., M.S.D.

• Psychiatric/Mental Health Nurse Practitioner in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.