Individual provider Active NPI

Stephen S Lee, MD

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1194883991
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
173043 Issued in NY
Practice address
2704 Parsons Blvd
Flushing, NY 11354-1343
Phone
(718) 321-9090
Fax
(718) 661-3330
NPI assigned
Dec 5, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 173043 NY
Cardiovascular Disease Physician 207RC0000X 173043 NY Primary

Addresses

Primary practice location

2704 Parsons Blvd
Flushing, NY 11354-1343

Mailing address

2704 Parsons Blvd
Flushing, NY 11354-1343
Phone (718) 321-9090

Other identifiers 1

IdentifierTypeStateIssuer
01355513MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000662 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5193985562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin S. Lee, M.D. and Stephen S. Lee, M.D.,PCGroup PAC ID 5395905764, 2 clinicians

Practice addresses (Care Compare)

2704 Parsons Blvd
Flushing, NY 11354-1343
Phone (718) 321-9090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen S Lee MD PLLC Internal Medicine CurrentSince Dec 29, 2025 Accepting new patients
Kevin S. Lee, M.D. & Stephen S. Lee, M.D.,PC Cardiovascular Disease CurrentSince Apr 25, 2017 Accepting new patients

Locations

1649 Deer Park Ave
Deer Park, NY 11729
Phone (516) 667-8178

2704 Parsons Blvd
Flushing, NY 11354
Phone (718) 321-9090

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: stephenlee@cmpc.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1194883991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541343",
            "telephone_number": "718-321-9090",
            "fax_number": "718-661-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541343",
            "telephone_number": "718-321-9090",
            "fax_number": "718-661-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "173043",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "173043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01355513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.