NPIMap

Individual provider Active NPI

Dale Austin Lee, MD

  • Nephrology Physician
  • Morristown, NJ
National Provider Identifier
1710407580
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA11732600 Issued in NJ
Practice address
290 Madison Ave BLDG No 5, 2ND Floor
Morristown, NJ 07960-7401
Phone
(973) 631-6223
NPI assigned
Jun 22, 2017
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Nephrology Physician 207RN0300X 25MA11732600 NJ Primary

Addresses

Primary practice location

290 Madison Ave BLDG No 5, 2ND Floor
Morristown, NJ 07960-7401

Mailing address

270 1St St Apt 2E
Mineola, NY 11501-2362
Phone (802) 318-6472

Other practice location 1

222 Station Plz N Ste 310
Mineola, NY 11501-3893
Phone (516) 663-2051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522003341 NJ Practitioner - NephrologyPractitioner - Internal Medicine 4587020227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Vermont College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care of Morris County LLCGroup PAC ID 8022380799, 7 clinicians

Practice addresses (Care Compare)

194 Route 31 N
Suite 100a
Flemington, NJ 08822-5793
Phone (973) 631-6223

290 Madison Ave
BLDG No5
Morristown, NJ 07960-7400
Phone (973) 631-6223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care of Morris County LLC Nephrology CurrentSince Mar 1, 2024 Accepting new patients
Kidney Care and Hypertension Center of Central Jersey LLC Nephrology CurrentSince Sep 1, 2024 Accepting new patients
Modern Nephrology & Transplant, LLC CurrentSince Jul 1, 2023 Accepting new patients
Mega Healthcare LLC Past Accepting new patients

Locations

194 Route 31
Ste 100A
Flemington, NJ 08822

131 Madison Ave
Ste 3
Morristown, NJ 07960
Phone (973) 326-9000

290 Madison Ave
Ste 2
Morristown, NJ 07960
Phone (201) 704-7578

290 Madison Ave
Ste 5
Morristown, NJ 07960
Phone (973) 538-7171

1350 Hamilton St
Somerset, NJ 08873
Phone (732) 246-2626

745 Northfield Ave
Ste 2
West Orange, NJ 07052
Phone (973) 325-0061

767 Northfield Ave
West Orange, NJ 07052
Phone (973) 736-9004

Interoperability endpoints

  • Direct secure messaging: dlee36759@direct.davitaphysiciansolutions.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1710407580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 1ST ST APT 2E",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012362",
            "telephone_number": "802-318-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE BLDG NO 5, 2ND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607401",
            "telephone_number": "973-631-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Station Plz N Ste 310",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013893",
            "country_code": "US",
            "telephone_number": "516-663-2051",
            "fax_number": "516-663-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DALE",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA11732600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.