Organization Active NPI

Serena Q Lee MD PA

  • Infectious Disease Physician
  • Parsippany, NJ
National Provider Identifier
1457423717
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA061583 Issued in NJ
Legal business name
SERENA Q LEE MD PA
Practice address
1222 US Highway 46
Parsippany, NJ 07054-2158
Phone
(973) 335-9210
Fax
(973) 335-9240
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Serena Q. Lee, M.D.NPI 1386688083
Title
President
Phone
(973) 335-9210

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA061583 NJ
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X MA061583 NJ Primary

Addresses

Primary practice location

1222 US Highway 46
Parsippany, NJ 07054-2158

Mailing address

1222 US Highway 46
Parsippany, NJ 07054-2158
Phone (973) 335-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000517 NJ Part B Supplier - Clinic/Group Practice 3476555996 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ; Parsippany, NJ

National Provider Directory

National Provider Directory

Locations

125 Avon Ave
Newark, NJ 07108
Phone (973) 621-6280

1222 US Highway 46
Parsippany, NJ 07054
Phone (973) 335-9210

Practitioners & affiliated clinicians

Practitioners 3

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1457423717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542158",
            "telephone_number": "973-335-9210",
            "fax_number": "973-335-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542158",
            "telephone_number": "973-335-9210",
            "fax_number": "973-335-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA Q LEE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-335-9210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA061583",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA061583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.