Individual provider Active NPI

Al Jonathan Lee, D.O.

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1104266089
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT015356 Issued in PA
Practice address
501 Madison Ave
Scranton, PA 18510-2401
Phone
(570) 343-2383
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT015356 PA Primary

Addresses

Primary practice location

501 Madison Ave
Scranton, PA 18510-2401

Mailing address

221 N Hyde Park Ave
Apt 1
Scranton, PA 18504-3329
Phone (570) 903-3268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180606000546 PA Practitioner - NephrologyPractitioner - Internal Medicine 0143521674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Associates PCGroup PAC ID 6406744614, 7 clinicians

Practice addresses (Care Compare)

370 Middletown Blvd
Langhorne, PA 19047-1840
Phone (215) 757-5772

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • St Mary Rehabilitation Hospital Inpatient rehabilitation facility, Langhorne, PA, CCN 393055

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Hypertension Associates PC CurrentSince Jul 1, 2018 Accepting new patients
Northampton Neurology, P.C. Past Accepting new patients

Locations

370 Middletown Blvd
Ste 504
Langhorne, PA 19047
Phone (215) 750-0315

240 Middletown Blvd
Ste 200
Langhorne, PA 19047
Phone (215) 757-5772

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13165/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1104266089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N HYDE PARK AVE",
            "address_2": "APT 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043329",
            "telephone_number": "570-903-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102401",
            "telephone_number": "570-343-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.