Jack Lee, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

245 Union Ave
2C
Bridgewater, NJ 08807-3064

Phone

(908) 722-5115

Fax

(908) 722-9515

NPI assigned

Mar 28, 2006

Last updated

Feb 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Hahnemann University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Somerset Pulmonary and Critical Care Associates, PAGroup PAC ID 8426047457, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCABBA/Endpoint/HCABBA
• Direct secure messaging: jack.lee@spccascp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Somerset Pulmonary and Critical Care Associates, PA

  • Pulmonary Disease Physician
  • Bridgewater, NJ
  • NPI 1538222864
  Medicare reassignment Care Compare group
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Robert Wood Johnson University Hospital Inc

  dba Robert Wood Johnson University Hospital Somerset

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1083675318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 UNION AVE",
            "address_2": "2C",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073064",
            "telephone_number": "908-722-5115",
            "fax_number": "908-722-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 UNION AVE",
            "address_2": "2C",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073064",
            "telephone_number": "908-722-5115",
            "fax_number": "908-722-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058947",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy D. Lazar, M.D.
• Jennyfer Odalis Lazo
• LCS Bridgewater Operations II LLC (The Delaney of Bridgewater)
• LCS Bridgewater Operations LLC (Arbor at Laurel Circle)
• Alexa Lee
• Nanna Ka-Man Lee, O.D.
• Philip Lee, LAT, ATC, CSCS
• S Howard Lee, MD
• Richard S Leeds, MD
• Mark Leekoff, MD

• Specialist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.