Active NPI
Daniel Carter Lee, MD
- Neurology Physician
- Philadelphia, PA
National Provider Identifier
1811566532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD492912
- Practice address
- 3400 Spruce Street
2 Ravdin
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3606
- Fax
- (215) 349-5579
- NPI assigned
- Jun 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA12998200 | NJ | |
| Neurology Physician | 2084N0400X | MD492912 | PA | Primary |
Addresses
Primary practice location
3400 Spruce Street
2 Ravdin
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce Street
2 Ravdin
Philadelphia, PA 19104-4206
Phone (215) 662-3606
Other practice location 1
555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 396-9167
Other practice location 2
1 Plainsboro Road
Plainsboro, NJ 08536-1913
Phone (609) 853-6049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220810001147 | AL | Order and Referring Only - Neurology | 5799168613 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1811566532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "2 RAVDIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3606",
"fax_number": "215-349-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "2 RAVDIN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3606",
"fax_number": "215-349-5579"
}
],
"practiceLocations": [
{
"address_1": "555 N Duke St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176022250",
"country_code": "US",
"telephone_number": "717-396-9167",
"fax_number": "717-396-9064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Plainsboro Road",
"address_purpose": "LOCATION",
"city": "Plainsboro",
"state": "NJ",
"postal_code": "085361913",
"country_code": "US",
"telephone_number": "609-853-6049",
"fax_number": "609-853-7221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DANIEL",
"middle_name": "CARTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA12998200",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD492912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.