Active NPI
Henry Lee, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Warren, NJ
National Provider Identifier
1447412952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 25MA09441300
- Practice address
- 58 Mount Bethel Rd
Ste 302
Warren, NJ 07059-2654 - Phone
- (908) 738-1160
- Fax
- (877) 619-8780
- NPI assigned
- Jun 26, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MT193436 | PA | |
| Ophthalmology Physician | 207W00000X | MD60191039 | WA | |
| Ophthalmology Physician | 207W00000X | 051639 | CT | |
| Ophthalmology Physician | 207W00000X | 25MA09441300 | NJ | |
| Ophthalmology Physician | 207W00000X | MD453009 | PA | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 25MA09441300 | NJ | Primary |
Addresses
Primary practice location
58 Mount Bethel Rd
Ste 302
Warren, NJ 07059-2654
Mailing address
58 Mount Bethel Rd
Ste 302
Warren, NJ 07059-2654
Phone (908) 738-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140915002242 | NJ | Practitioner - Ophthalmology | 3173793692 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051639 | CT | MD | Ophthalmology Physician |
| MT193436 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Aesthetic Center, LLC | Ophthalmology | Current | Accepting new patients |
Locations
12 Ridge St
Basking Ridge, NJ 07920
Phone (908) 766-1515
364 Springfield Ave
Unit 382
Berkeley Heights, NJ 07922
58 Mount Bethel Rd
Ste 302
Warren, NJ 07059
Phone (908) 738-1160
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Warren, NJ
- NPI 1871983197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1447412952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MOUNT BETHEL RD",
"address_2": "STE 302",
"city": "WARREN",
"state": "NJ",
"postal_code": "070592654",
"telephone_number": "908-738-1160",
"fax_number": "877-619-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MOUNT BETHEL RD",
"address_2": "STE 302",
"city": "WARREN",
"state": "NJ",
"postal_code": "070592654",
"telephone_number": "908-738-1160",
"fax_number": "877-619-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HENRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MT193436",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60191039",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "051639",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "25MA09441300",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD453009",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NJ",
"license": "25MA09441300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.