Active NPI
Jay Lee
- Social Worker
- Flushing, NY
National Provider Identifier
1760104657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 115234-01
- Practice address
- 131-72 40TH Road
Flushing, NY 11354-6533 - Phone
- (718) 886-7373
- Fax
- (718) 661-6035
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 115234-01 | NY | Primary |
Addresses
Primary practice location
131-72 40TH Road
Flushing, NY 11354-6533
Mailing address
125 Walker Street
Floor 2
New York, NY 10013
Phone (212) 226-8866
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115234-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles B. Wang Community Health Center, Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1144203498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1760104657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALKER STREET",
"address_2": "FLOOR 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-226-8866",
"fax_number": "212-226-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131-72 40TH ROAD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546533",
"telephone_number": "718-886-7373",
"fax_number": "718-661-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2023-06-13",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "115234-01",
"primary": true
}
],
"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 Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.