Individual provider Active NPI

Henry Lee, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Warren, NJ
National Provider Identifier
1447412952
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
25MA09441300 Issued in NJ
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

Updated by the provider on May 4, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915002242 NJ Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3173793692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051639CTMDOphthalmology Physician
MT193436PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Aesthetic Center, LLC Ophthalmology CurrentSince Apr 1, 2015 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.

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

Verify at the official NPI Registry.