Organization Active NPI

Lee Podiatry PLLC

  • Podiatric Clinic/Center
  • Mount Vernon, NY
National Provider Identifier
1447811336
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
LEE PODIATRY PLLC
Practice address
12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone
(914) 361-6918
Fax
(914) 664-2873
NPI assigned
Jun 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Authorized official

Name
Dr. Dae Yong Lee, DPMNPI 1104205103
Title
Podiatrist
Phone
(917) 832-0408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

12 N 7TH Ave
Mount Vernon, NY 10550-2026

Mailing address

5 Anderson St Apt 201
New Rochelle, NY 10801-6454
Phone (917) 832-0408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561161600000",
    "number": "1447811336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ANDERSON ST APT 201",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016454",
            "telephone_number": "917-832-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 7TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502026",
            "telephone_number": "914-361-6918",
            "fax_number": "914-664-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAE",
        "authorized_official_middle_name": "YONG",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "917-832-0408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.