Organization Active NPI

Raymond Lee DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Union, NJ
National Provider Identifier
1275214421
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RAYMOND LEE DPM LLC
Practice address
1020 Galloping Hill Rd Ste 100
Union, NJ 07083-7999
Phone
(908) 688-4800
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Raymond Lee, DPMNPI 1528453735
Title
Physician
Phone
(646) 784-1632

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1020 Galloping Hill Rd Ste 100
Union, NJ 07083-7999

Mailing address

1020 Galloping Hill Rd Ste 100
Union, NJ 07083-7999
Phone (908) 688-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926003242 NJ Part B Supplier - Clinic/Group Practice 4486008364 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1020 Galloping Hill Rd
Ste 100
Union, NJ 07083
Phone (908) 688-4800

Practitioners & affiliated clinicians

Practitioners 5

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1275214421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GALLOPING HILL RD STE 100",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837999",
            "telephone_number": "908-688-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GALLOPING HILL RD STE 100",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837999",
            "telephone_number": "908-688-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND LEE DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "646-784-1632",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.