Nicole Yar-Lute Lee, M.D., M.P.H.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

289445 Issued in NY

Practice address

520 Franklin Ave Ste 211
Garden City, NY 11530-5815

Phone

(516) 506-0800

Fax

(516) 506-0802

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Epoch Dermatology PLLC

  • Dermatology Physician
  • Garden City, NY
  • NPI 1649959982

  Single Specialty

  Medicare reassignment NPD Authorized official
• Wesson Dermatology, PC

  • Dermatology Physician
  • Great Neck, NY
  • NPI 1346514411

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1629334198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 211",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "516-506-0800",
            "fax_number": "516-506-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 211",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "516-506-0800",
            "fax_number": "516-506-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NICOLE",
        "middle_name": "YAR-LUTE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "289445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lee, PA-C
• Gene W Lee, M.D.
• Glenna Lee, DDS
• Josh Lee, MD, PHD
• Kristie Lee, PHARMD
• Sojin Lee
• Tammy Lee, OT
• Amy Lefkowitz, PH.D.
• Mitchell Lefland, MD
• Renee Lefland, M.D

• Dermatology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.

Verify at the official NPI Registry.