Active NPI
Sang M Lee, MD PA
- Surgical Oncology Physician
- Warren, NJ
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
- Last updated
- Dec 19, 2011
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgical Oncology Physician
- Warren, NJ
- NPI 1396758983
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.