Individual provider Active NPI

Anne Lee

  • Clinic/Center
  • Flushing, NY
National Provider Identifier
1205205374
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
F339810-1 Issued in NY
Practice address
4739 196TH PL
Flushing, NY 11358-3942
Phone
(646) 526-7072
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X F339810-1 NY Primary

Addresses

Primary practice location

4739 196TH PL
Flushing, NY 11358-3942

Mailing address

4739 196 Place
Flushing, NY 11358-0000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601002095 NY Practitioner - Nurse Practitioner 6608166780 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Aandi Physicians PLLCGroup PAC ID 0840357430, 6 clinicians
Health Shared Physicians PLLCGroup PAC ID 1850717521, 7 clinicians
Belmont Comprehensive Medical Care PLLCGroup PAC ID 5698123115, 6 clinicians

Practice addresses (Care Compare)

47 Plaza St W
Brooklyn, NY 11217-3905
Phone (718) 789-4332

76 Belmont Ave
Brooklyn, NY 11212-6719
Phone (718) 395-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339810NYMDLicensed Practical Nurse
F339810-1NYMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Health Shared Physicians, PLLC Clinic/Center CurrentSince Apr 3, 2020 Accepting new patients
A&I Physicians PLLC Clinic/Center CurrentSince Nov 29, 2024 Accepting new patients
Belmont Comprehensive Medical Care PLLC Clinic/Center CurrentSince May 17, 2025 Accepting new patients
Sunrise Cardiovascular PLLC Clinic/Center Past Accepting new patients

Locations

979 Fulton St
Ste 1
Brooklyn, NY 11238

78 Belmont Ave
Ste 4
Brooklyn, NY 11212

78 Belmont Ave
Ste 2
Brooklyn, NY 11212

76 Belmont Ave
Ste 2
Brooklyn, NY 11212

76 Belmont Ave
Ste 1
Brooklyn, NY 11212

76 Belmont Ave
Ste 4
Brooklyn, NY 11212

979 Fulton St
Brooklyn, NY 11238
Phone (718) 857-1200

76 Belmont Ave
Brooklyn, NY 11212
Phone (347) 754-6012

78 Belmont Ave
Ste 1
Brooklyn, NY 11212

78 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6444

979 Fulton St
Ste 2
Brooklyn, NY 11238

979 Fulton St
Ste 4
Brooklyn, NY 11238

Networks

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1205205374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 196 PLACE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113580000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 196TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583942",
            "telephone_number": "646-526-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "F339810-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.