Simon X Lee, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

209983 Issued in NY

Practice address

903 60TH St FL 1
Brooklyn, NY 11219

Phone

(718) 438-0890

Fax

(718) 438-4279

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lion Medical, PC

  • Rehabilitation Practitioner
  • Flushing, NY
  • NPI 1841696291
  NPD (past) Authorized official
• Lion Medical, PC

  • Rehabilitation Practitioner
  • New York, NY
  • NPI 1992102925
  NPD (past) Authorized official
• Meridian Medical Group

  • Internal Medicine Physician
  • New York, NY
  • NPI 1962652289
  NPD (past)
• Xiang Bin Kong Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1265822654
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1679589667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BEL AIR CT",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088502183",
            "telephone_number": "732-419-3737",
            "fax_number": "732-419-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 60TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-438-0890",
            "fax_number": "718-438-4279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 60th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11220",
            "country_code": "US",
            "telephone_number": "718-686-6548",
            "fax_number": "718-686-6561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Elizabeth St Ste 602",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134729",
            "country_code": "US",
            "telephone_number": "212-219-9262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIMON",
        "middle_name": "X",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "209983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01897061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shin Hann Lee
• Shin O. Lee, M.D.
• Shuk Yee Lee
• Simon Lee, PHARMD
• Simon K Lee
• Sin Mei Lee
• Song-Yi Lee, M.D.
• Soonhee Lee
• Sooyeon Lee, D.P.M
• Stella Lee

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.