Active NPI
Bonnie Lee, PH.D.
- Speech-Language Pathologist
- Princeton Junction, NJ
National Provider Identifier
1669644506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00391700
- Practice address
- 2 Huntington Drive
Princeton Junction, NJ 08550-2122 - Phone
- (609) 799-0585
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00391700 | NJ | Primary |
Addresses
Primary practice location
2 Huntington Drive
Princeton Junction, NJ 08550-2122
Mailing address
2 Huntington Dr
Princeton Junction, NJ 08550-2122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00391700 | Other | NJ | NJ SPEECH LANGUAGE PATHOL |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00391700 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1669644506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HUNTINGTON DR",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085502122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HUNTINGTON DRIVE",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085502122",
"telephone_number": "609-799-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BONNIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00391700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ SPEECH LANGUAGE PATHOL",
"identifier": "41YS00391700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton Junction, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.