Active NPI
Jason Chiong Lee, NP
- Adult Health Nurse Practitioner
- Monroe, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304606
- Practice address
- 1200 State Route 208 Ste 13
Monroe, NY 10950-4649 - Phone
- (845) 783-6266
- Fax
- (845) 783-9570
- NPI assigned
- Dec 24, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304606 | NY | Primary |
Addresses
Primary practice location
1200 State Route 208 Ste 13
Monroe, NY 10950-4649
Mailing address
1200 State Route 208 Ste 13
Monroe, NY 10950-4649
Phone (845) 783-6266
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304606 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| The Trustees of Columbia University in the City of New York | Adult Health | Current | Accepting new patients |
| Horizon Medical Group, P.C. | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Horizon Medical Group, P.C. | Current | Accepting new patients |
Locations
21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733
2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400
1200 State Route 208
Ste 13
Monroe, NY 10950
Phone (845) 783-0911
622 W 168th St
Ph 1271
New York, NY 10032
Phone (212) 305-4920
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGICBA
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
dba Horizon Family Medical Group
- Family Medicine Physician
- Goshen, NY
- NPI 1063488179
-
- Surgery Physician
- New York, NY
- NPI 1265598783
Adult Health
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
dba Horizon Family Medical Group
- Durable Medical Equipment & Medical Supplies
- Yorktown Heights, NY
- NPI 1386520021
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1275717423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 STATE ROUTE 208 STE 13",
"city": "MONROE",
"state": "NY",
"postal_code": "109504649",
"telephone_number": "845-783-6266",
"fax_number": "845-783-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 STATE ROUTE 208 STE 13",
"city": "MONROE",
"state": "NY",
"postal_code": "109504649",
"telephone_number": "845-783-6266",
"fax_number": "845-783-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JASON",
"middle_name": "CHIONG",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.