Organization Active NPI

Sang M Lee, MD PA

  • Surgical Oncology Physician
  • Warren, NJ
National Provider Identifier
1124336623
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA02879600 Issued in NJ
Legal business name
SANG M LEE, MD PA
Practice address
65 Mountain Blvd Ext.
Suite 206
Warren, NJ 07059-2633
Phone
(732) 560-3560
Fax
(732) 560-3565
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Sang M Lee, M.D.
Title
President
Phone
(732) 560-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 25MA02879600 NJ Primary

Addresses

Primary practice location

65 Mountain Blvd Ext.
Suite 206
Warren, NJ 07059-2633

Mailing address

65 Mountain Blvd. Ext.
Suite 206
Warren, NJ 07059-2633
Phone (732) 560-3560

National Provider Directory

National Provider Directory

Locations

65 Mountain Blvd Ext
Ste 206
Warren, NJ 07059
Phone (732) 560-3560

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1124336623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD. EXT.",
            "address_2": "SUITE 206",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592633",
            "telephone_number": "732-560-3560",
            "fax_number": "732-560-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD EXT.",
            "address_2": "SUITE 206",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592633",
            "telephone_number": "732-560-3560",
            "fax_number": "732-560-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG M LEE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-560-3560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA02879600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.