Active NPI
In Lee, D.M.D.
- General Practice Dentistry
- New York, NY
National Provider Identifier
1205114618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 056140
- Practice address
- 230 E 79TH St Ofc 1
New York, NY 10075-1256 - Phone
- (212) 396-3069
- NPI assigned
- Aug 2, 2011
- Last updated
- Dec 16, 2021
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 056140 | NY | Primary |
Addresses
Primary practice location
230 E 79TH St Ofc 1
New York, NY 10075-1256
Mailing address
200 Winston Dr
Apt 2112
Cliffside Park, NJ 07010-3235
Phone (201) 621-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056140 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health of Astoria,PC | General Practice | Past | Accepting new patients |
| Joy Dental, PLLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Astoria, NY
- NPI 1093850133
-
- General Practice Dentistry
- Astoria, NY
- NPI 1659626877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1205114618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WINSTON DR",
"address_2": "APT 2112",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103235",
"telephone_number": "201-621-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 79TH ST OFC 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751256",
"telephone_number": "212-396-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "IN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "056140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.