Active NPI
Lucas Walker Lee, PA-C
- Physician Assistant
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022634
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 376-3000
- NPI assigned
- Sep 28, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022634 | NY | Primary |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
27 Dorothy St
Bethpage, NY 11714-2907
Phone (516) 942-3864
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181217002210 | NY | Practitioner - Physician Assistant | 1153666383 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CS Medical Associates, PC
Practice addresses (Care Compare)
100 Granny Rd
Suite 1
Farmingville, NY 11738-2879
Phone (631) 696-4357
120 Bethpage Rd
Suite 101
Hicksville, NY 11801-1515
Phone (631) 696-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| CS Medical Associates, P.C. | Current | Accepting new patients | |
| CS Medical Associates, P.C. | Past | Accepting new patients |
Locations
100 Granny Rd
Farmingville, NY 11738
Phone (631) 698-7828
100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234
1377 Motor Pkwy
Ste 102
Islandia, NY 11749
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Interoperability endpoints
- llee@victoryrecovery.medentdirect.com
Organizations & group practices 7
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Farmingville, NY
- NPI 1992210231
NY
-
- Emergency Medicine Physician
- West Islip, NY
- NPI 1104978014
NY
-
- Counselor
- Amityville, NY
- NPI 1790653236
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Riverhead, NY
- NPI 1043873417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1083199756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 DOROTHY ST",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117142907",
"telephone_number": "516-942-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954927",
"telephone_number": "631-376-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LUCAS",
"middle_name": "WALKER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "022634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.