Active NPI
Sylvia S Lee, M D
- Allergy Physician
- Maplewood, NJ
National Provider Identifier
1275518490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- MA053317
- Practice address
- 2130 Millburn Ave
Maplewood, NJ 07040 - Phone
- (973) 763-5787
- Fax
- (973) 763-8568
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | MA053317 | NJ | Primary |
Addresses
Primary practice location
2130 Millburn Ave
Maplewood, NJ 07040
Mailing address
2130 Millburn Ave
Maplewood, NJ 07040
Phone (973) 763-5787
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60006533 | Other | NJ | HORIZON NJ HEALTH |
| 0071749 | Medicaid | NJ | |
| 8828709 | Medicaid | NJ | |
| P3239785 | Other | NJ | OXFORD |
| 2099741 | Other | NM | GHI |
| 3258228 | Other | NJ | AETNA |
| 0150142000 | Other | NJ | AMERIHEALTH |
| 2622101 | Other | NJ | CIGNA |
| 236425 | Other | NJ | AMERIGROUP |
| 2432568 | Other | NJ | UNITED HEALTHCARE |
| 91001701700 | Other | NJ | AMERICHOICE |
| 38766 | Other | NJ | UNIVESITY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053317 | NJ | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudhir M Parikh M D P a | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Highland Park, NJ
- NPI 1750309589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1275518490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 MILLBURN AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "07040",
"telephone_number": "973-763-5787",
"fax_number": "973-763-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 MILLBURN AVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "07040",
"telephone_number": "973-763-5787",
"fax_number": "973-763-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SYLVIA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NJ",
"license": "MA053317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60006533",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071749",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8828709",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3239785",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2099741",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3258228",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0150142000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2622101",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "236425",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2432568",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "91001701700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVESITY HEALTH PLAN",
"identifier": "38766",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.