Fred Lee MD Orthopaedic Surgery PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

NJMA036836 Issued in NJ

Legal business name

FRED LEE MD ORTHOPAEDIC SURGERY PC

Practice address

1608 Lemoine Ave Ste 204
Fort Lee, NJ 07024-5636

Phone

(201) 461-0708

Fax

(201) 461-9005

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Fred Lee, M.D.NPI 1518035807

Title

President

Phone

(201) 461-0708

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Fred Lee

  • Orthopaedic Surgery Physician
  • Fort Lee, NJ
  • NPI 1518035807
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1689947145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 204",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-461-0708",
            "fax_number": "201-461-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 204",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-461-0708",
            "fax_number": "201-461-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED LEE MD ORTHOPAEDIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-461-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "NJMA036836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Lee Smiles
• Fort Lee Therapy Group
• Fort Lee Vision LLC
• Naomi Fox, MSW LCSW
• Richard D Fox, MD
• Alex Fu, DO
• Raymond Fung, M.P.T.
• Marie L Gagliano, AC
• Gallina Vision Center,LLC.
• Paul M Gallina, LICENSED OPTICIAN

• Sports Medicine (Orthopaedic Surgery) Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.