Individual provider Active NPI

Colleen Insook Lee, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1710078993
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192566 Issued in NY
Practice address
1270 Broadway RM 405
New York, NY 10001-0368
Phone
(212) 714-1170
Fax
(212) 290-9061
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 192566 NY Primary

Addresses

Primary practice location

1270 Broadway RM 405
New York, NY 10001-0368

Mailing address

1270 Broadway RM 405
New York, NY 10001-0368
Phone (212) 714-1170

Other practice location 1

3825 Parsons Blvd Ste 1G
Flushing, NY 11354-5839
Phone (718) 353-4100

Other practice location 2

4221 162nd St Apt 1
Flushing, NY 11358-4151
Phone (718) 463-0101

Other identifiers 1

IdentifierTypeStateIssuer
01726547MedicaidNY

Other names 1

  • Insook Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120313000666 NY Practitioner - Internal Medicine 0446351191 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Lees Medical Associates LLPGroup PAC ID 5092245472, 2 clinicians

Practice addresses (Care Compare)

4121 162ND St
FL 1
Flushing, NY 11358-4124
Phone (718) 463-0101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192566NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ji Medical Group PC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Dr. Lees Medical Associates, LLP CurrentSince Jan 1, 2025 Accepting new patients
William Shin Pediatric PC Past Accepting new patients
Booth Medical Associates PC Internal Medicine Past Accepting new patients
Song Heart and Vascular PC Past Accepting new patients

Locations

4121 162nd St
Fl 1
Flushing, NY 11358
Phone (718) 463-0101

3825 Parsons Blvd
Ste 1G
Flushing, NY 11354
Phone (718) 353-4100

1270 Broadway
Rm 405
New York, NY 10001
Phone (212) 714-1170

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1710078993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 BROADWAY RM 405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010368",
            "telephone_number": "212-714-1170",
            "fax_number": "212-290-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BROADWAY RM 405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010368",
            "telephone_number": "212-714-1170",
            "fax_number": "212-290-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 Parsons Blvd Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545839",
            "country_code": "US",
            "telephone_number": "718-353-4100",
            "fax_number": "718-939-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4221 162nd St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113584151",
            "country_code": "US",
            "telephone_number": "718-463-0101",
            "fax_number": "917-563-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "COLLEEN INSOOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01726547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INSOOK",
            "last_name": "LEE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.