Individual provider Active NPI

Paul PO Yuan Lee, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Stratford, NJ
National Provider Identifier
1700814795
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA07638800 Issued in NJ
Practice address
42 E Laurel Rd Ste 1800
Stratford, NJ 08084-1338
Phone
(856) 566-6843
Fax
(856) 566-6419
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07638800 NJ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07638800 NJ Primary

Addresses

Primary practice location

42 E Laurel Rd Ste 1800
Stratford, NJ 08084-1338

Mailing address

25 Amherst Way
Princeton Junction, NJ 08550-1825
Phone (856) 725-2627

Other identifiers 1

IdentifierTypeStateIssuer
0038482MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address plee223691@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000804 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0042286908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry Current Accepting new patients
Rowansom New Jersey Institute for Successful Aging Internal Medicine CurrentSince Aug 31, 2009 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

42 E Laurel Rd
Ste 1800
Stratford, NJ 08084
Phone (609) 566-6843

Interoperability endpoints

  • Direct secure messaging: plee223691@directvirtua.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1700814795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 AMHERST WAY",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501825",
            "telephone_number": "856-725-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD STE 1800",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841338",
            "telephone_number": "856-566-6843",
            "fax_number": "856-566-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "PO YUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07638800",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07638800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038482",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plee223691@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 1800",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.