Active NPI
Maryann Lee, M.D.
- Rheumatology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 239954
- Practice address
- 1200 South Ave
Suite 307
Staten Island, NY 10314-3413 - Phone
- (718) 698-3777
- Fax
- (718) 698-8777
- NPI assigned
- May 6, 2007
- Last updated
- Oct 8, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA07938600 | NJ | |
| Rheumatology Physician | 207RR0500X | 239954 | NY | Primary |
Addresses
Primary practice location
1200 South Ave
Suite 307
Staten Island, NY 10314-3413
Mailing address
1200 South Ave
Suite 307
Staten Island, NY 10314-3529
Phone (718) 698-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00717999RAILROAD | Other | NY | MEDICARE RAILROAD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Rutgers New Jersey Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
554 E Main St
Riverhead, NY 11901-2671
Phone 6313607778301
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 82.29
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07938600 | NJ | MD | Internal Medicine Physician |
| 239954 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology Associates of Long Island, LLP | Current | Accepting new patients | |
| Rheumatology Associates of L.I., LLP | Current | Accepting new patients | |
| Rheumatology Associates of L.I., LLP | Past | Accepting new patients |
Locations
554 E Main St
Riverhead, NY 11901
Phone (631) 360-7778
1200 South Ave
Ste 307
Staten Island, NY 10314
Phone (718) 698-3777
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- maryann.lee.p1@direct.rali.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Smithtown, NY
- NPI 1689660573
-
- Specialist
- Melville, NY
- NPI 1457520140
-
- Specialist
- Port Jefferson Sta, NY
- NPI 1972772614
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1376755710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SOUTH AVE",
"address_2": "SUITE 307",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143529",
"telephone_number": "718-698-3777",
"fax_number": "718-698-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SOUTH AVE",
"address_2": "SUITE 307",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143413",
"telephone_number": "718-698-3777",
"fax_number": "718-698-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARYANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA07938600",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "239954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00717999RAILROAD",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.