Active NPI
Martin Lee, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1225094006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 127642
- Practice address
- 268 Canal St
6 Floor
New York, NY 10013-3599 - Phone
- (212) 379-5307
- Fax
- (212) 379-6936
- NPI assigned
- Apr 21, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 127642 | NY | Primary |
Addresses
Primary practice location
268 Canal St
6 Floor
New York, NY 10013-3599
Mailing address
268 Canal Street Charles B Wang Community Health Center
6 Floor
New York, NY 10013
Phone (212) 379-5307
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170221001602 | NY | Order and Referring Only - Internal Medicine | 1456635382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127642 | NY | MD | Internal Medicine Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1225094006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 CANAL STREET CHARLES B WANG COMMUNITY HEALTH CENTER",
"address_2": "6 FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-379-5307",
"fax_number": "212-379-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 CANAL ST",
"address_2": "6 FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133599",
"telephone_number": "212-379-5307",
"fax_number": "212-379-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "127642",
"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 Feb 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.