Organization Active NPI

Edward E. Lee,MD, PC

  • Nephrology Physician
  • Flushing, NY
National Provider Identifier
1235495326
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EDWARD E. LEE,MD, PC
Practice address
13636 39TH Ave
7TH Floor
Flushing, NY 11354-5599
Phone
(718) 321-8333
Fax
(718) 321-1106
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Edward E. Lee, MDNPI 1144394966
Title
President
Phone
(718) 321-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

13636 39TH Ave
7TH Floor
Flushing, NY 11354-5599

Mailing address

13636 39TH Ave
7TH Floor
Flushing, NY 11354-5599
Phone (718) 321-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000425 NY Part B Supplier - Clinic/Group Practice 4880507441 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

16410 Northern Blvd
Ste 210
Flushing, NY 11358
Phone (718) 321-8333

377 Denton Ave
New Hyde Park, NY 11040
Phone (516) 739-3377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1235495326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE",
            "address_2": "7TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545599",
            "telephone_number": "718-321-8333",
            "fax_number": "718-321-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE",
            "address_2": "7TH FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545599",
            "telephone_number": "718-321-8333",
            "fax_number": "718-321-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E. LEE,MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.