Individual provider Active NPI

William K Lee, MD

  • Interventional Cardiology Physician
  • Oakland, NJ
National Provider Identifier
1083788145
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA02776800 Issued in NJ
Practice address
43 Yawpo Ave
Oakland, NJ 07436
Phone
(201) 337-0066
Fax
(201) 337-7417
NPI assigned
Nov 20, 2006
Last updated
May 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA02776800 NJ Primary

Addresses

Primary practice location

43 Yawpo Ave
Oakland, NJ 07436

Mailing address

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

Other identifiers 1

IdentifierTypeStateIssuer
0788708MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050921000480 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294769063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William K Lee MD PAGroup PAC ID 5294760161, 11 clinicians

Practice addresses (Care Compare)

43 Yawpo Ave
Oakland, NJ 07436-2714
Phone (201) 337-0066

43 Yawpo Ave
Oakland, NJ 07436-2717

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Cardiology Associates CurrentSince Jan 1, 1989 Accepting new patients
William K Lee MD PA CurrentSince Jan 1, 1989 Accepting new patients

Locations

200 Fairfield Rd
Fairfield, NJ 07004
Phone (973) 256-1799

700 Godwin Ave
Ste 100
Midland Park, NJ 07432

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 2
Oakland, NJ 07436
Phone (201) 337-0066

Interoperability endpoints

  • Direct secure messaging: william.lee.1@27406.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1083788145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-337-0066",
            "fax_number": "201-337-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-337-0066",
            "fax_number": "201-337-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA02776800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0788708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.