Teddy T. Lee, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

215767-1 Issued in NY

Practice address

1 Healthy Way
Oceanside, NY 11572-1551

Phone

(516) 632-3900

NPI assigned

Jan 6, 2006

Last updated

May 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Emergency Medical Services PCGroup PAC ID 4981503513, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St John's Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

Merit-based Incentive Payment System (MIPS)

Final score

91.85 of 100Reported as group

Quality

79.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Island Emergency Medical Services, P.C.

  • Emergency Medicine Physician
  • Far Rockaway, NY
  • NPI 1639160385
  Medicare reassignment Care Compare group NPD
• Siena Emergency Medical Services, P.C.

  • Emergency Medicine Physician
  • Smithtown, NY
  • NPI 1356507099
  Medicare reassignment NPD
• Bronx Park Urgent Medical Care PC

  • General Practice Physician
  • Bronx, NY
  • NPI 1326191727
  NPD (past)
• Island Medical Empire State, PLLC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1053623041
  NPD (past)
• Island Medical House Doctor PC

  • Family Medicine Physician
  • Hauppauge, NY
  • NPI 1477704005
  NPD (past)
• Island Medical Physicians, PC

  • Emergency Medicine Physician
  • Bethpage, NY
  • NPI 1538198197
  NPD (past)
• Port Emergency Medical Services, P.C.

  • Emergency Medicine Physician
  • Port Jefferson, NY
  • NPI 1912988395
  NPD (past)
• Quarry Road Emergency Services P.C.

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1134238199
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1265410542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826223",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826223",
            "telephone_number": "866-898-7142",
            "fax_number": "770-237-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TEDDY",
        "middle_name": "T.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "215767-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02073834",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1655Q1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1239Q1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00303494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Weiner, DC
• Alan Lee, R.PH
• Deborah Lee, DO
• Mona Lee, L.AC.
• Paul Jung-Koon Lee, M.D.
• William Lefing, MD
• Ralph A Leggio, CRNA
• April M Lelo
• Destiny Daniyel Lemard
• Kristen Nicole Lentz

• Emergency Medicine Physician in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.

Verify at the official NPI Registry.