Individual provider Active NPI

Winston Lee, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1396709143
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
220812 Issued in NY
Practice address
2651 E 14TH St
Brooklyn, NY 11235-3915
Phone
(718) 769-4100
Fax
(718) 769-4105
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 220812 NY Primary

Addresses

Primary practice location

2651 E 14TH St
Brooklyn, NY 11235-3915

Mailing address

2651 E 14TH St
Brooklyn, NY 11235-3915
Phone (718) 769-4100

Other identifiers 1

IdentifierTypeStateIssuer
02558881MedicaidNY

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
I20040629001591 NY Practitioner - NephrologyPractitioner - Internal Medicine 5698751568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

2701 Emmons Ave
Brooklyn, NY 11235-2209
Phone (718) 769-4100

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Si Medical PC CurrentSince Apr 5, 2009 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Apr 22, 2017 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

2651 E 14th St
Brooklyn, NY 11235
Phone (718) 769-4100

1523 Voorhies Ave
Brooklyn, NY 11235
Phone (718) 524-3600

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2701 Emmons Ave
Brooklyn, NY 11235
Phone (718) 368-6291

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1396709143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "718-769-4100",
            "fax_number": "718-769-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "718-769-4100",
            "fax_number": "718-769-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "220812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.