Jessica Lee, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

274142 Issued in NY

Practice address

200 Motor Pkwy Ste A2
Hauppauge, NY 11788-5112

Phone

(631) 234-5666

Fax

(631) 234-0539

NPI assigned

May 12, 2011

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Female

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

Electronic endpoints 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

New York Medical College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Long Island Vitreo Retinal Consultants PCGroup PAC ID 1355232158, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jlee@efp1740.srs-direct.com
• Direct secure messaging: jlee@vrc.intellechartdirect.net

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.

• Icahn School of Medicine at Mount Sinai

  dba Ophthalmology Department of Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252
  Medicare reassignment Care Compare group NPD
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1437262755
  Medicare reassignment Care Compare group NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Ophthalmology

  NPD
• Long Island Vitreo Retinal Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Great Neck, NY
  • NPI 1740474402
  NPD (past)
• Long Island Vitreo Retinal Consultants PC

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1235242553
  NPD (past)

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

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1083906747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY STE A2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885112",
            "telephone_number": "631-234-5666",
            "fax_number": "631-234-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOTOR PKWY STE A2",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885112",
            "telephone_number": "631-234-5666",
            "fax_number": "631-234-0539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_2": "University Hospitals Case Medical Center",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-844-8447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E 14th St Ste 319S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034284",
            "country_code": "US",
            "telephone_number": "212-979-4076",
            "fax_number": "212-614-8256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 N Long Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115705030",
            "country_code": "US",
            "telephone_number": "516-594-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215200",
            "country_code": "US",
            "telephone_number": "516-466-0390",
            "fax_number": "516-829-0520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9131 Queens Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735511",
            "country_code": "US",
            "telephone_number": "718-793-6430",
            "fax_number": "718-793-6321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "274142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04003590",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlee@vrc.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Long Island Vitreo Retinal Consultants PC",
            "address_1": "600 Northern Blvd Ste 216",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110215200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah A Lazarou, LPN
• Tess Olivia Leale
• Rhonda Lebit, MS. ED.
• Patricia Angela Ledek, OT
• Gyu Hyi (Joy) Lee, BA, CNIM
• Katelynn Lefave-Snyder
• Jessa Mariah Mitra Legaspi, PT
• Mark Adrian Cruz Legaspi
• Robin Haber Leibowitz, MA-CCC-SLP
• Norma Beth Lennon, OCCUPATIONAL THERAPI

• Ophthalmology Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.