Individual provider Active NPI

Elaine Hee-Young Cheon-Lee, MD

  • Obstetrics & Gynecology Physician
  • Schenectady, NY
National Provider Identifier
1295796266
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-13495 Issued in HI
Practice address
Carenet Medical Group
2123 River Road
Schenectady, NY 12309-1135
Phone
(518) 381-1121
Fax
(518) 381-3930
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 203769 NY
Obstetrics & Gynecology Physician 207V00000X MD-13495 HI Primary

Addresses

Primary practice location

Carenet Medical Group
2123 River Road
Schenectady, NY 12309-1135

Mailing address

Carenet Medical Group
2123 River Road
Schenectady, NY 12309-1135
Phone (518) 381-1121

Other identifiers 1

IdentifierTypeStateIssuer
01752432MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000050 NY Practitioner - Obstetrics/Gynecology 2264626159 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-13495HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients

Locations

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

6 Wellness Way
Latham, NY 12110
Phone (518) 881-1109

Interoperability endpoints

  • Direct secure messaging: elainecheonlee@cmgny.allscriptsdirect.net

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1295796266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARENET MEDICAL GROUP",
            "address_2": "2123 RIVER ROAD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091135",
            "telephone_number": "518-381-1121",
            "fax_number": "518-381-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARENET MEDICAL GROUP",
            "address_2": "2123 RIVER ROAD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091135",
            "telephone_number": "518-381-1121",
            "fax_number": "518-381-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEON-LEE",
        "first_name": "ELAINE",
        "middle_name": "HEE-YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "203769",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-13495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01752432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.