Individual provider Active NPI

Lee Squitieri, MD

  • Plastic Surgery Physician
  • Bronx, NY
National Provider Identifier
1275970188
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
339647-01 Issued in NY
Practice address
1776 Eastchester Rd Ste 200
Bronx, NY 10461-2334
Phone
(516) 650-8439
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A 125392 CA
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 339647-01 NY Primary

Addresses

Primary practice location

1776 Eastchester Rd Ste 200
Bronx, NY 10461-2334

Mailing address

5 Shady Rd
Ardsley, NY 10502-2221
Phone (516) 650-8439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141023000823 CA Practitioner - Plastic and Reconstructive Surgery 4385872464 Reassigns benefits to 2 organizations
I20260107002722 NY Practitioner - Plastic and Reconstructive Surgery 4385872464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Michigan Medical School, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
339647-01NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Multi-Specialty CurrentSince Sep 26, 2025 Accepting new patients
City of Hope Medical Foundation Multi-Specialty CurrentSince Jun 15, 2022 Accepting new patients
California Institute of Cosmetic & Reconstructive Surgery a Medical Co Multi-Specialty CurrentSince Dec 16, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Sep 26, 2025 Accepting new patients

Locations

2901 Sillect Ave
Ste 201
Bakersfield, CA 93308
Phone (661) 327-2101

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

111 E 210th St
Bronx, NY 10467

1776 Eastchester Rd
Ste 200
Bronx, NY 10461
Phone (516) 650-8439

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: lesquitier@montefioredirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1275970188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHADY RD",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022221",
            "telephone_number": "516-650-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 EASTCHESTER RD STE 200",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612334",
            "telephone_number": "516-650-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUITIERI",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A 125392",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "339647-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.