Active NPI
Lee Fu Peng, MD, PHD
- Gastroenterology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 301837
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3011 - Phone
- (585) 922-4136
- Fax
- (585) 922-5761
- NPI assigned
- Oct 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | MD453368 | PA | |
| Gastroenterology Physician | 207RG0100X | 301837 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3011
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-5067
Other practice location 1
80 West Ave
Brockport, NY 14420-1322
Phone (585) 637-8580
Other practice location 2
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-5067
Other practice location 3
130 Office Park Way Ste B
Pittsford, NY 14534-1761
Phone (585) 381-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Harvard Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1828 W Lake Ave
Neptune, NJ 07753-4663
Phone (732) 869-5700
19 Davis Ave
Neptune, NJ 07753-4488
30 Prospect Ave
Hackensack, NJ 07601-1915
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Ocean Medical Center
- Southern Ocean Medical Center
- Riverview Medical Center
- Bayshore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 28 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD453368 | PA | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Hepatology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
19 Davis Ave
Fl 6
Neptune, NJ 07753
Phone (732) 897-3990
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
80 West Ave
Brockport, NY 14420
Phone (585) 385-9030
130 Office Pkwy
Ste B
Pittsford, NY 14534
Phone (585) 381-1860
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067
701 Ostrum St
Ste 303
Fountain Hill, PA 18015
Phone (484) 526-3900
515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 11
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Hepatology Physician
- Philadelphia, PA
- NPI 1518449453
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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": "1575936000000",
"number": "1437149507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-5067",
"fax_number": "215-707-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213011",
"telephone_number": "585-922-4136",
"fax_number": "585-922-5761"
}
],
"practiceLocations": [
{
"address_1": "80 West Ave",
"address_purpose": "LOCATION",
"city": "Brockport",
"state": "NY",
"postal_code": "144201322",
"country_code": "US",
"telephone_number": "585-637-8580",
"fax_number": "585-637-0471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-5067",
"fax_number": "215-707-5126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Office Park Way Ste B",
"address_purpose": "LOCATION",
"city": "Pittsford",
"state": "NY",
"postal_code": "145341761",
"country_code": "US",
"telephone_number": "585-381-1860",
"fax_number": "585-381-2269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENG",
"first_name": "LEE",
"middle_name": "FU",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "PA",
"license": "MD453368",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "301837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.