Individual provider Active NPI

Charles Lee, D.P.M.

  • Podiatrist
  • Bloomfield, NJ
National Provider Identifier
1497044986
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00378900 Issued in NJ
Practice address
350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852
Phone
(201) 463-0240
Fax
(718) 466-8126
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006605 NY
Podiatrist 213E00000X 25MD00378900 NJ Primary

Addresses

Primary practice location

350 Bloomfield Ave Ste 5
Bloomfield, NJ 07003-4852

Mailing address

355 Tom Hunter Rd
Fort Lee, NJ 07024-4608
Phone (204) 463-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140429001816 NY Practitioner - Podiatry 8729211693 Reassigns benefits to 6 organizations
I20260512001301 NJ Practitioner - Podiatry 8729211693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians
Pedirite Medical NJ LLCGroup PAC ID 1052743184, 14 clinicians
Pauline Polin Fu, DPM, PCGroup PAC ID 4082770565, 3 clinicians

Practice addresses (Care Compare)

1160 Teller Ave
Bronx, NY 10456-4145
Phone (718) 293-1500

28 Washington St
Columbia, NJ 07832-2324
Phone (212) 764-0008

280 Madison Ave
RM 202
New York, NY 10016-0816
Phone (212) 889-2318

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2443
Removal or shaving of skin growth133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006605NYMDAcupuncturist
25MD00378900NJMDPodiatrist
N006605NYMDPodiatrist

Practice roles (11 of 15)

OrganizationSpecialtyStatusNew patients
Podiatry Company LLC Podiatrist CurrentSince May 8, 2025 Accepting new patients
Pauline Polin Fu, DPM, PC CurrentSince Oct 7, 2024 Accepting new patients
Medical Director Services PC CurrentSince Mar 4, 2024 Accepting new patients
Bronxcare Health System CurrentSince Apr 20, 2015 Accepting new patients
Phase Two Podiatry PC Podiatrist CurrentSince Mar 1, 2024 Accepting new patients
Bronxcare Health System CurrentSince Apr 20, 2015 Accepting new patients
Foot and Ankle Health Center of Bloomfield LLC Podiatrist Current Accepting new patients
Bronxcare Health System Current Accepting new patients
Charles Lee DPM PLLC Podiatrist Current Accepting new patients
Lee DPM LLC Podiatrist Current Accepting new patients
Bronxcare Health System Past Accepting new patients

Locations

667 Eagle Rock Ave
Ste B
West Orange, NJ 07052
Phone (732) 349-5719

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

301 Mill Rd
Ste U7
Hewlett, NY 11557

280 Madison Ave
Rm 202
New York, NY 10016
Phone (212) 889-2318

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1497044986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244608",
            "telephone_number": "204-463-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 5",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "201-463-0240",
            "fax_number": "718-466-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006605",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00378900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.