Garland Lee, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP003200900 Issued in NJ

Practice address

347 Mount Pleasant Ave
Suite 205
West Orange, NJ 07052-2744

Phone

(973) 571-2121

Fax

(973) 498-0512

NPI assigned

Oct 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dermatology Laser and Surgery of Carnegie Hill PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1598225260
  Medicare reassignment
• Dermatology, Laser and Surgery of Flatiron PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1699287839
  Medicare reassignment
• Vanguard Dermatology

  • Specialist
  • Brooklyn, NY
  • NPI 1619179009
  Medicare reassignment
• Laurence S Harris MDPC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1972815017
  NPD (past)
• Sherry Shieh, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1821295031
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1124456561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 MOUNTAIN AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MOUNT PLEASANT AVE",
            "address_2": "SUITE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522744",
            "telephone_number": "973-571-2121",
            "fax_number": "973-498-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GARLAND",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP003200900",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016774-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Melamed Inc
• Jonathan Lebolt, PHD, LCSW, CGP
• Noah David Lebovitz, DDS
• Carmen H Lebron, MD
• Daniel Kilho Lee, M.D.
• James M Lee Sr., MD
• James M Lee Jr., M.D
• Rachel Sofi Lee, RDN
• Sandra S. Lee
• Leonard Scott Leff, D.M.D.

• Medical Physician Assistant in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.