Nellie Lee M.D., P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA02733100 Issued in NJ

Legal business name

NELLIE LEE M.D., P.A.

Practice address

190 Euclid Ave
Ridgefield Park, NJ 07660-1742

Phone

(201) 440-3366

Fax

(201) 807-0705

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Nellie Lee, M.D.NPI 1104034107

Title

President

Phone

(201) 440-3366

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nellie Lee, MD

  • Cardiovascular Disease Physician
  • Ridgefield Park, NJ
  • NPI 1104034107
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518014158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 EUCLID AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601742",
            "telephone_number": "201-440-3366",
            "fax_number": "201-807-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EUCLID AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601742",
            "telephone_number": "201-440-3366",
            "fax_number": "201-807-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLIE LEE M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-440-3366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02733100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2998301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yipsi Molina, LSW
• Esmirna Morillo Lajara
• Furqan Bashir Muhammad, PHARM.D
• Andres F Munoz
• Sylvia Murphy-McCray, FNP-BC
• Nevada Home Health Holdings LLC
• New Jersey CVS Pharmacy LLC
• Maria F Nieto
• Natalie Nunez
• Heithem Odeh

• Cardiovascular Disease Physician in Ridgefield Park, NJ
• Providers in Ridgefield Park, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.