Individual provider Active NPI

Peng Lee, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1710997499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
230273 Issued in NY
Practice address
423 E 23Rd St
New York, NY 10010-5011
Phone
(212) 951-3418
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 230273 NY Primary

Addresses

Primary practice location

423 E 23Rd St
New York, NY 10010-5011

Mailing address

6712 184TH St
Fresh Meadows, NY 11365-3510

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
I20090424000255 NY Practitioner - Pathology 2567510860 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Sanford Medical Care PLLCGroup PAC ID 5496046864, 4 clinicians
Newtown Gastroenterology PCGroup PAC ID 4587044375, 12 clinicians

Practice addresses (Care Compare)

13347 Sanford Ave
Suite 1D
Flushing, NY 11355-5816
Phone (718) 461-9779

8710 51St Ave
Elmhurst, NY 11373-3908
Phone (646) 609-6138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230273NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Hills Gastroenterology P.C. CurrentSince May 8, 2017 Accepting new patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients
Newtown Gastroenterology PC CurrentSince Nov 1, 2022 Accepting new patients
Sanford Endoscopy PLLC PastSince Apr 7, 2010 Accepting new patients
Dong-Hong Shong, M.D., P.C. PastSince May 14, 2024 Accepting new patients
New Day Medical PC Past Accepting new patients

Locations

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

2619 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 224-7186

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

2619 Francis Lewis Blvd
Bsmt
Flushing, NY 11358
Phone (718) 888-0750

13347 Sanford Ave
Ste 1D
Flushing, NY 11355
Phone (718) 461-9779

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

10840 Queens Blvd
Forest Hills, NY 11375
Phone (718) 268-3161

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

Networks

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

Organizations & group practices 7

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710997499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 184TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105011",
            "telephone_number": "212-951-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PENG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "230273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.