Active NPI
Allan Dong Lee, DPM
- Podiatrist
- Brooklyn, NY
National Provider Identifier
1619064052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002751
- Practice address
- 142 Joralemon Street
Suite 11C
Brooklyn, NY 11201-4709 - Phone
- (718) 624-5050
- Fax
- (718) 237-2349
- NPI assigned
- Oct 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N002751 | NY | Primary |
Addresses
Primary practice location
142 Joralemon Street
Suite 11C
Brooklyn, NY 11201-4709
Mailing address
142 Joralemon Street
Suite 11C
Brooklyn, NY 11201-4709
Phone (718) 624-5050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N002751 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1619064052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JORALEMON STREET",
"address_2": "SUITE 11C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014709",
"telephone_number": "718-624-5050",
"fax_number": "718-237-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 JORALEMON STREET",
"address_2": "SUITE 11C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014709",
"telephone_number": "718-624-5050",
"fax_number": "718-237-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ALLAN",
"middle_name": "DONG",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N002751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.