Active NPI
Joseph Lee, FNP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1669336046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 357040
- Practice address
- 100 Haven Ave Apt 13F
New York, NY 10032-2624 - Phone
- (323) 484-2864
- NPI assigned
- Dec 11, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 357040 | NY | Primary |
Addresses
Primary practice location
100 Haven Ave Apt 13F
New York, NY 10032-2624
Mailing address
100 Haven Ave Apt 13F
New York, NY 10032-2624
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 357040 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1669336046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HAVEN AVE APT 13F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAVEN AVE APT 13F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322624",
"telephone_number": "323-484-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOSEPH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-11",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "357040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.