Organization Active NPI

Lee Rehabilitation Osteopathic Medicine, PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Hollis, NY
National Provider Identifier
1679622112
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
2310351 Issued in NY
Legal business name
LEE REHABILITATION OSTEOPATHIC MEDICINE, PLLC
Practice address
8672 188TH St
Hollis, NY 11423-1110
Phone
(917) 204-8780
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Wah Lee, DONPI 1154355253
Title
Owner
Phone
(917) 204-8780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X 2310351 NY Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 2310351 NY

Addresses

Primary practice location

8672 188TH St
Hollis, NY 11423-1110

Mailing address

42 Bay 31St St
2ND Floor
Brooklyn, NY 11214-4110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000278 NY Part B Supplier - Clinic/Group Practice 3476587742 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

17 Elizabeth St
Ste 601
New York, NY 10013
Phone (212) 966-8889

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679622112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BAY 31ST ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8672 188TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231110",
            "telephone_number": "917-204-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE REHABILITATION OSTEOPATHIC MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-204-8780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "2310351",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "2310351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.