Individual provider Active NPI

Norman Lee

  • Diagnostic Radiology Physician
  • Huntsville, AL
National Provider Identifier
1710038765
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD431857 Issued in PA
Practice address
6767 Old Madison Pike NW
Suite 690
Huntsville, AL 35806-2172
Phone
(908) 247-2088
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07709300 NJ
Diagnostic Radiology Physician 2085R0202X MD00042567 WA
Diagnostic Radiology Physician 2085R0202X 213290 NY
Diagnostic Radiology Physician 2085R0202X MD431857 PA Primary

Addresses

Primary practice location

6767 Old Madison Pike NW
Suite 690
Huntsville, AL 35806-2172

Mailing address

5501 Old York Road
Levy BLDG GRD FLR
Philadelphia, PA 19141-3018
Phone (215) 456-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040622000418 NY Practitioner - Diagnostic Radiology 8123003381 Reassigns benefits to 1 organization
I20180125000202 NJ Practitioner - Diagnostic Radiology 8123003381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042567WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Diagnostic Radiology CurrentSince Nov 9, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 1, 2016 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 1, 2016 Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 9, 2019 Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients
Mid-Island Medical Imaging, P.C. Diagnostic Radiology PastSince Jan 20, 2010 Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
Trustees of Columbia University in the City of New York Diagnostic Radiology Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
West Side Radiology Associates, PC Diagnostic Radiology Past Accepting new patients
Progressive Physician Assoc, Inc. Diagnostic Radiology Past Accepting new patients

Locations

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

972 Brush Hollow Rd
Westbury, NY 11590

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 Old York Rd
Bldg Grd
Philadelphia, PA 19141
Phone (215) 456-6200

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1710038765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK ROAD",
            "address_2": "LEVY BLDG GRD FLR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 OLD MADISON PIKE NW",
            "address_2": "SUITE 690",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062172",
            "telephone_number": "908-247-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NORMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07709300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00042567",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "213290",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD431857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.