Individual provider Active NPI

Steve Lee, MD

  • Specialist
  • Flushing, NY
National Provider Identifier
1710959572
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07712600 Issued in NJ
Practice address
3916 Prince St
Suite 153
Flushing, NY 11354-5361
Phone
(718) 886-8996
Fax
(718) 679-9292
NPI assigned
Feb 6, 2006
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07712600 NJ Primary
Plastic Surgery Physician 208200000X 209574 NY

Addresses

Primary practice location

3916 Prince St
Suite 153
Flushing, NY 11354-5361

Mailing address

3916 Prince St
Suite 153
Flushing, NY 11354-5361
Phone (718) 886-8996

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07712600NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Samra Plastic and Reconstructive Surgery LLC Specialist PastSince Feb 8, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1710959572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST",
            "address_2": "SUITE 153",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-8996",
            "fax_number": "718-679-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST",
            "address_2": "SUITE 153",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-8996",
            "fax_number": "718-679-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07712600",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "209574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.