Organization Active NPI

Cambridge Medical Care, PC

  • Internal Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1417130675
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203881 Issued in NY
Legal business name
CAMBRIDGE MEDICAL CARE, PC
Practice address
185 Merrick Rd
Suite 2E
Lynbrook, NY 11563-2700
Phone
(516) 596-0527
Fax
(516) 596-9271
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Alex Yin Lee, M.D.NPI 1831128214
Title
President
Phone
(516) 596-0527

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 203881 NY Primary

Addresses

Primary practice location

185 Merrick Rd
Suite 2E
Lynbrook, NY 11563-2700

Mailing address

185 Merrick Rd
Suite 2E
Lynbrook, NY 11563-2700
Phone (516) 596-0527

Other identifiers 1

IdentifierTypeStateIssuer
01678266MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000482 NY Part B Supplier - Clinic/Group Practice 2961658075 Receives reassigned benefits from 2 practitioners
Practice locations: East Rockaway, NY; West Hempstead, NY

National Provider Directory

National Provider Directory

Locations

422 Atlantic Ave
East Rockaway, NY 11518
Phone (516) 568-7788

185 Merrick Rd
Ste 2E
Lynbrook, NY 11563
Phone (516) 596-0527

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_cam

Practitioners & affiliated clinicians

Practitioners 3

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1417130675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MERRICK RD",
            "address_2": "SUITE 2E",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632700",
            "telephone_number": "516-596-0527",
            "fax_number": "516-596-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MERRICK RD",
            "address_2": "SUITE 2E",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632700",
            "telephone_number": "516-596-0527",
            "fax_number": "516-596-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "YIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-596-0527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01678266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.