Individual provider Active NPI

Maryann Lee, M.D.

  • Rheumatology Physician
  • Staten Island, NY
National Provider Identifier
1376755710
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
239954 Issued in NY
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00717999RAILROADOtherNYMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000740 NY Practitioner - RheumatologyPractitioner - Internal Medicine 8820161656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
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 100Reported as group
Quality
82.29
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07938600NJMDInternal Medicine Physician
239954NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of Long Island, LLP CurrentSince Aug 6, 2015 Accepting new patients
Rheumatology Associates of L.I., LLP CurrentSince Aug 6, 2015 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.