Active NPI
Charles Lee, D.P.M.
- Podiatrist
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00378900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCPedirite Medical NJ LLCPauline Polin Fu, DPM, PC
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 2443 |
| Removal or shaving of skin growth | 133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006605 | NY | MD | Acupuncturist |
| 25MD00378900 | NJ | MD | Podiatrist |
| N006605 | NY | MD | Podiatrist |
Practice roles (11 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Company LLC | Podiatrist | Current | Accepting new patients |
| Pauline Polin Fu, DPM, PC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Phase Two Podiatry PC | Podiatrist | Current | Accepting new patients |
| Bronxcare Health System | Current | 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.
-
- Podiatrist
- West Orange, NJ
- NPI 1649132234
NJ, Podiatrist
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Podiatrist
- Fort Lee, NJ
- NPI 1760240584
-
- Podiatrist
- New York, NY
- NPI 1306604137
-
- Orthopaedic Surgery Physician
- Bronx, NY
- NPI 1700121928
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.