Coastal Prime Care Medical Associates, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101240950 Issued in VA

Legal business name

COASTAL PRIME CARE MEDICAL ASSOCIATES, INC.

Practice address

2 Bernardine Dr
Newport News, VA 23602-4404

Phone

(757) 886-6000

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin P Lee, M.D.

Title

Owner

Phone

(757) 310-6834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1780894543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NAT TURNER BLVD S",
            "address_2": "#2006",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062899",
            "telephone_number": "757-310-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BERNARDINE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024404",
            "telephone_number": "757-886-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PRIME CARE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-310-6834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101240950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.