Individual provider Active NPI

Jonathan Lee, MD

  • Neurological Surgery Physician
  • Cedar Knolls, NJ
National Provider Identifier
1134574460
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA12237000 Issued in NJ
Practice address
197 Ridgedale Ave Ste 225
Cedar Knolls, NJ 07927-2111
Phone
(862) 244-1968
NPI assigned
Apr 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA12237000 NJ Primary

Addresses

Primary practice location

197 Ridgedale Ave Ste 225
Cedar Knolls, NJ 07927-2111

Mailing address

197 Ridgedale Ave Ste 225
Cedar Knolls, NJ 07927-2111
Phone (862) 244-1968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230512001389 AZ Practitioner - Neurosurgery 7012373293 Reassigns benefits to 1 organization
I20240605003317 TX Practitioner - Neurosurgery 7012373293 Reassigns benefits to 1 organization
I20240717002402 NJ Practitioner - Neurosurgery 7012373293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maxim Brain and SpineGroup PAC ID 1557712981, 25 clinicians

Practice addresses (Care Compare)

197 Ridgedale Ave
Suite 225
Cedar Knolls, NJ 07927-2111
Phone (862) 260-4265

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion159
Laminectomy or laminotomy (partial removal of spine bones)86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jan 16, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Christus Trinity Clinic Texas Neurological Surgery CurrentSince Jul 26, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 26, 2024 Accepting new patients
Maxim Brain and Spine Neurological Surgery CurrentSince Aug 1, 2024 Accepting new patients
Vista Pain Management, LLC CurrentSince Aug 1, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Jan 16, 2024 Accepting new patients

Locations

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

197 Ridgedale Ave
Ste 225
Cedar Knolls, NJ 07927
Phone (862) 260-4265

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jlee381724@christushealth.direct-ci.net
  • Direct secure messaging: jlee262990@direct.valleywisehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1134574460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 225",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272111",
            "telephone_number": "862-244-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 225",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272111",
            "telephone_number": "862-244-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-23",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA12237000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.