Active NPI
David Charles Lee, M.D.
- Neurology Physician
- Medford, NJ
National Provider Identifier
1275633562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 49817
- Practice address
- 520 Stokes Road
Suite a-4
Medford, NJ 08055-2904 - Phone
- (609) 714-7774
- Fax
- (609) 714-7775
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 49817 | NJ | Primary |
Addresses
Primary practice location
520 Stokes Road
Suite a-4
Medford, NJ 08055-2904
Mailing address
520 Stokes Road
Suite a-4
Medford, NJ 08055-2904
Phone (609) 714-7774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2385960 | Other | NJ | AETNA |
| 130023199 | Other | NJ | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49817 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Consultants of Burlington County, PA | Neurology | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1275633562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 STOKES ROAD",
"address_2": "SUITE A-4",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080552904",
"telephone_number": "609-714-7774",
"fax_number": "609-714-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 STOKES ROAD",
"address_2": "SUITE A-4",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080552904",
"telephone_number": "609-714-7774",
"fax_number": "609-714-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "49817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2385960",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130023199",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.