Active NPI
Namty Lee, D.D.S.
- Dentist
- Brooklyn, NY
National Provider Identifier
1154577815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054053
- Practice address
- 8618 25TH Ave
Brooklyn, NY 11214-4434 - Phone
- (718) 676-7778
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054053 | NY | Primary |
Addresses
Primary practice location
8618 25TH Ave
Brooklyn, NY 11214-4434
Mailing address
8618 25TH Ave
Brooklyn, NY 11214-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03217374 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160518000828 | NY | Order and Referring Only - Dentist | 8325337116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054053 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namty Dental, PLLC | Dentist | Current | Accepting new patients |
| Kingston Dental PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Brooklyn, NY
- NPI 1841188448
-
- Dentist
- Brooklyn, NY
- NPI 1487826665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1154577815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8618 25TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8618 25TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144434",
"telephone_number": "718-676-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NAMTY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03217374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.