Organization Active NPI

Ny Monitored Anesthesia Care PC

  • Anesthesiology Physician
  • Albertson, NY
National Provider Identifier
1396002556
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
185465 Issued in NY
Legal business name
NY MONITORED ANESTHESIA CARE PC
Practice address
134 The Dell
Albertson, NY 11507-1041
Phone
(718) 224-1600
Fax
(718) 224-8085
NPI assigned
Apr 12, 2012
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Han S Lee, M.D.NPI 1235168964
Title
Owner
Phone
(718) 224-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 185465 NY Primary

Addresses

Primary practice location

134 The Dell
Albertson, NY 11507-1041

Mailing address

134 The Dell
Albertson, NY 11507-1041
Phone (718) 224-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000000 NY Part B Supplier - Clinic/Group Practice 3678739463 Receives reassigned benefits from 3 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1396002556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 THE DELL",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071041",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 THE DELL",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071041",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY MONITORED ANESTHESIA CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-224-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.