Active NPI
Eugene Y Lee, D.D.S.
- Pediatric Dentistry
- Forest Hills, NY
National Provider Identifier
1437140563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 050692
- Practice address
- 10460 Queens Blvd
Suite 1F
Forest Hills, NY 11375-7301 - Phone
- (718) 459-7900
- NPI assigned
- Oct 28, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 050692 | NY | Primary |
Addresses
Primary practice location
10460 Queens Blvd
Suite 1F
Forest Hills, NY 11375-7301
Mailing address
10460 Queens Blvd
Apt. 2C
Forest Hills, NY 11375-7301
Phone (917) 446-1197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02405163 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050692 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiles Perfected Orthodontics | Pediatric Dentistry | Past | Accepting new patients |
| Simon Cheirif DDS PC | Pediatric Dentistry | Past | Accepting new patients |
| Eugene Lee, DDS., PC | Pediatric Dentistry | Past | Accepting new patients |
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.
-
- Pediatric Dentistry
- Levittown, NY
- NPI 1851874945
-
- Pediatric Dentistry
- Forest Hills, NY
- NPI 1306258819
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Forest Hills, NY
- NPI 1063871374
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437140563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10460 QUEENS BLVD",
"address_2": "APT. 2C",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757301",
"telephone_number": "917-446-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10460 QUEENS BLVD",
"address_2": "SUITE 1F",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757301",
"telephone_number": "718-459-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EUGENE",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "050692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02405163",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.