Active NPI
Young I. Lee, M.D.
- Internal Medicine Physician
- Rahway, NJ
National Provider Identifier
1578617338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NJ028327
- Practice address
- 2263 St George Ave
Rahway, NJ 07065 - Phone
- (732) 574-0055
- Fax
- (732) 574-1155
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NJ028327 | NJ | Primary |
| Cardiovascular Disease Physician | 207RC0000X | NJ028327 | NJ |
Addresses
Primary practice location
2263 St George Ave
Rahway, NJ 07065
Mailing address
2263 St George Ave
Rahway, NJ 07065
Phone (732) 574-0055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2394103 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ028327 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1578617338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2263 ST GEORGE AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "07065",
"telephone_number": "732-574-0055",
"fax_number": "732-574-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2263 ST GEORGE AVE",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "07065",
"telephone_number": "732-574-0055",
"fax_number": "732-574-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YOUNG",
"middle_name": "I.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "NJ028327",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "NJ028327",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2394103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.