Jae Sung Lee, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

130958 Issued in NY

Practice address

5300 Military Rd
Mount St Marys Hospital
Lewiston, NY 14092

Phone

(716) 297-4800

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

Yes

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.

• Mary Ann Bishara MD PC

  • Anesthesiology Physician
  • Lewiston, NY
  • NPI 1376862896
  NPD (past)
• Michael Kreymer Medicine PC

  • Anesthesiology Physician
  • Lewiston, NY
  • NPI 1942553029
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1689646259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MILITARY RD",
            "address_2": "STE 6",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "14092",
            "telephone_number": "716-297-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MILITARY RD",
            "address_2": "MOUNT ST MARYS HOSPITAL",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "14092",
            "telephone_number": "716-297-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "SUNG",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "130958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00589579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald William Laduca
• Kafai Lai, M.D
• Emily Elizabeth Lannon, COTA
• Sherri L Lashomb, DC ATC
• Garwood Emerson Leckband, MD
• Charles J Lesh Jr., MD
• Michael F Lewis, PH.D.
• Lewiston Apothecary, LLC
• Lewiston Fire Company No 1 Inc
• Lewiston Orthopedics PC

• Anesthesiology Physician in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.