Active NPI
Ernest J. Lee, MD
- Otolaryngology Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 193404
- Practice address
- 624 McClellan St
Suite G01
Schenectady, NY 12304-1020 - Phone
- (518) 347-5655
- Fax
- (518) 347-5656
- NPI assigned
- Oct 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 193404 | NY | Primary |
Addresses
Primary practice location
624 McClellan St
Suite G01
Schenectady, NY 12304-1020
Mailing address
624 McClellan St
Suite G01
Schenectady, NY 12304-1020
Phone (518) 347-5655
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110022226001 | Other | CDPHP | |
| 219HE1 | Other | EMPIRE BLUE CROSS | |
| 9083054 | Other | MVP | |
| 01572238 | Medicaid | NY | |
| 5369702 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193404 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Ellis Hospital | Current | Accepting new patients | |
| Maui Medical Group Inc | Otolaryngology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients |
Locations
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267
47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705
624 McClellan St
Ste G01
Schenectady, NY 12304
Phone (518) 347-5655
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
Organizations & group practices 6
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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- General Practice Physician
- Albany, NY
- NPI 1548290455
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1578645990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MCCLELLAN ST",
"address_2": "SUITE G01",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041020",
"telephone_number": "518-347-5655",
"fax_number": "518-347-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MCCLELLAN ST",
"address_2": "SUITE G01",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041020",
"telephone_number": "518-347-5655",
"fax_number": "518-347-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERNEST",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "193404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "110022226001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "219HE1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "9083054",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01572238",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5369702",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.