Active NPI
Sookwook Lee, M.D.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1619137932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 249997
- Practice address
- 12 W 32ND St
FL 2
New York, NY 10001-0291 - Phone
- (212) 574-4994
- Fax
- (917) 517-1320
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301091767 | MI | |
| Family Medicine Physician | 207Q00000X | 249997 | NY | Primary |
Addresses
Primary practice location
12 W 32ND St
FL 2
New York, NY 10001-0291
Mailing address
12 West 32ND St. 2FL.
New York, NY 10001
Phone (212) 574-4994
Other names 1
- Sookwook Lee
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12 W 32ND St
FL 2
New York, NY 10001-0291
Phone (212) 239-0983
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094345 | NY | MD | Social Worker |
| 4301091767 | MI | MD | Family Medicine Physician |
| 249997 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun & Moon Acupuncture P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1942500707
-
- Acupuncturist
- Flushing, NY
- NPI 1235379843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1619137932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WEST 32ND ST. 2FL.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "212-574-4994",
"fax_number": "914-517-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 W 32ND ST",
"address_2": "FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010291",
"telephone_number": "212-574-4994",
"fax_number": "917-517-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SOOKWOOK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301091767",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "249997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOOKWOOK",
"last_name": "LEE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.