Active NPI
Julia J Lee, M.D.
- Pediatrics Physician
- Ho Ho Kus, NJ
National Provider Identifier
1093813982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 205973
- Practice address
- 201 E Franklin Tpke
Ho Ho Kus, NJ 07423-3517 - Phone
- (201) 652-6164
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 205973 | NY | Primary |
| Pediatrics Physician | 208000000X | 25MA06845600 | NJ |
Addresses
Primary practice location
201 E Franklin Tpke
Ho Ho Kus, NJ 07423-3517
Mailing address
201 E Franklin Tpke
Ho Ho Kus, NJ 07423-3517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355931 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531001562 | NJ | Order and Referring Only - Pediatric Medicine | 8921398124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06845600 | NJ | MD | Pediatrics Physician |
| 205973 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Pediatric Associates PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Ho Ho Kus, NJ
- NPI 1659401370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1093813982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E FRANKLIN TPKE",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074233517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E FRANKLIN TPKE",
"city": "HO HO KUS",
"state": "NJ",
"postal_code": "074233517",
"telephone_number": "201-652-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JULIA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "205973",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06845600",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355931",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ho Ho Kus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.