Active NPI
Ikjae Lee, M.D.
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- License
- 304067
- Practice address
- 710 W 168TH St # Ni-3
New York, NY 10032-3726 - Phone
- (212) 305-6788
- Fax
- (212) 305-1504
- NPI assigned
- Jun 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | MD.34939 | AL | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 304067 | NY | Primary |
Addresses
Primary practice location
710 W 168TH St # Ni-3
New York, NY 10032-3726
Mailing address
710 W 168TH St # Ni-3
New York, NY 10032-3726
Phone (212) 305-6788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
155 White Plains Rd
Tarrytown, NY 10591-5523
Phone (914) 366-0500
161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-8559
710 W 168TH St
New York, NY 10032-3726
Phone (212) 305-7346
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.34939 | AL | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| 304067 | NY | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1720 7th Ave S
Ste 2300
Birmingham, AL 35233
1720 7th Ave S
#339
Birmingham, AL 35233
710 W 168th St
#3
New York, NY 10032
Phone (212) 305-6788
710 W 168th St
New York, NY 10032
Phone (212) 305-0217
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- ikl7001@direct.nyp.org
Organizations & group practices 5
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Specialist
- New York, NY
- NPI 1801074315
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
-
dba Visiting Nurse Service of New York Home Care
- Home Health Agency
- New York, NY
- NPI 1528059805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1215224266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W 168TH ST # NI-3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-6788",
"fax_number": "212-305-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 168TH ST # NI-3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-6788",
"fax_number": "212-305-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "IKJAE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "AL",
"license": "MD.34939",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "NY",
"license": "304067",
"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 Sep 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.