Active NPI
Sang M Lee, MD PA
- Surgical Oncology Physician
- Warren, NJ
National Provider Identifier
1124336623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 25MA02879600
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 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 DirectoryLocations
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.