Gabrielle Lee-Kim, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N007190 Issued in NY

Practice address

155 Mineola Blvd Ste B
Mineola, NY 11501-3992

Phone

(516) 741-3338

Fax

(516) 741-4601

NPI assigned

Apr 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Country Foot Care Podiatry PLLCGroup PAC ID 1254634223, 6 clinicians

Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Advanced Podiatry of Manhasset, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Manhasset, NY
  • NPI 1669626370
  Medicare reassignment Care Compare group NPD
• Country Foot Care Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Mineola, NY
  • NPI 1831562396
  Medicare reassignment Care Compare group NPD
• Plainview Podiatry PLLC

  • Podiatrist
  • Woodbury, NY
  • NPI 1508403080
  Medicare reassignment
• Country Foot Care Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Patchogue, NY
  • NPI 1184099442
  NPD
• Mineola Foot Care, PC

  • Podiatrist
  • Mineola, NY
  • NPI 1518060821
  NPD (past)
• Veritas Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Elmhurst, NY
  • NPI 1881554269
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1427545136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD STE B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013992",
            "telephone_number": "516-741-3338",
            "fax_number": "516-741-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD STE B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013992",
            "telephone_number": "516-741-3338",
            "fax_number": "516-741-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Willis Ave",
            "address_purpose": "LOCATION",
            "city": "Williston Park",
            "state": "NY",
            "postal_code": "115961725",
            "country_code": "US",
            "telephone_number": "516-294-8877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Crossways Park Dr N Ste 304",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117972007",
            "country_code": "US",
            "telephone_number": "516-681-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE-KIM",
        "first_name": "GABRIELLE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah Beth Lazare, D.O.
• George Lazarou, MD
• Martha J Le Blanc
• Sarah Elizabeth Leahy, D.C.
• Jill Ann Leavens-Maurer, M.D.
• Brian Lee
• Chang Hun Lee
• Eunji Lee
• Genevieve Lee, LAC
• Janet Lee, MD

• Foot & Ankle Surgery Podiatrist in Mineola, NY
• Providers in Mineola, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.

Verify at the official NPI Registry.