Individual provider Active NPI

Bernard W Lee, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1528108404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
224025 Issued in NY
Practice address
MMC Palliative Care Service
111 East 210TH Street
Bronx, NY 10467
Phone
(718) 842-8040
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 224025 NY Primary

Addresses

Primary practice location

MMC Palliative Care Service
111 East 210TH Street
Bronx, NY 10467

Mailing address

219 7TH St
Apt. 3a
Jersey City, NJ 07302-2055
Phone (718) 842-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000076 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Family Practice 2668554759 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 1, 2008 Accepting new patients
MJHS Medical Associates CurrentSince Aug 23, 2011 Accepting new patients
Montefiore Medical Center CurrentSince Sep 1, 2008 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1055 E Tremont Ave
#G
Bronx, NY 10460
Phone (718) 842-8040

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

6323 7th Ave
Ste 3
Brooklyn, NY 11220
Phone (718) 921-7835

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528108404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 7TH ST",
            "address_2": "APT. 3A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022055",
            "telephone_number": "718-842-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC PALLIATIVE CARE SERVICE",
            "address_2": "111 EAST 210TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-842-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BERNARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.