Active NPI
Seungho Lee, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1215092713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009317-1
- Practice address
- 5 E 98TH St
New York, NY 10029-6501 - Phone
- (212) 241-7261
- Fax
- (212) 241-9678
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009317-1 | NY | Primary |
Addresses
Primary practice location
5 E 98TH St
New York, NY 10029-6501
Mailing address
55 Park Ave # 6E
New York, NY 10016-3018
Phone (917) 355-7947
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009317 | NY | MD | Mental Health Counselor |
| 009317-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1215092713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PARK AVE # 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163018",
"telephone_number": "917-355-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296501",
"telephone_number": "212-241-7261",
"fax_number": "212-241-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEUNGHO",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009317-1",
"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 Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.