Active NPI
Christopher Lee, ATC
- Athletic Trainer
- Edison, NJ
National Provider Identifier
1700334810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000030330
- Practice address
- 142 Coppertree CT
Edison, NJ 08820-4055 - Phone
- (732) 713-8685
- NPI assigned
- Sep 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | ||
| Athletic Trainer | 2255A2300X | 2000030330 | NJ | Primary |
Addresses
Primary practice location
142 Coppertree CT
Edison, NJ 08820-4055
Mailing address
142 Coppertree CT
Edison, NJ 08820-4055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000030330 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1700334810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 COPPERTREE CT",
"city": "EDISON",
"state": "NJ",
"postal_code": "088204055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 COPPERTREE CT",
"city": "EDISON",
"state": "NJ",
"postal_code": "088204055",
"telephone_number": "732-713-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTOPHER",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-18",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "2000030330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.