Sung W Lee, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

109957 Issued in NY

Practice address

6 Eastentry Rd
Staten Island, NY 10304-1105

Phone

(718) 351-1418

Fax

(718) 351-7378

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114012796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EASTENTRY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041105",
            "telephone_number": "718-351-1418",
            "fax_number": "718-351-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EASTENTRY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041105",
            "telephone_number": "718-351-1418",
            "fax_number": "718-351-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNG",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "109957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00195666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Maria Lee, MD
• Sandra D Lee, L.C.S.W.
• Sangeun Lee, MSW
• Seung Gwan Lee
• Sook Ja Lee, MD
• Vincent Lee, PT,DPT
• Waiying Lee, RN
• Yea Ji Lee, NP
• Leonard Lefkovic, M. D.
• Jodi Lefurge, FNP-C

• Surgery Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.