Individual provider Active NPI

Anton Lee, M.S. L.AC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1821325697
Registry record updated Nov 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2155 Issued in NY
Practice address
141 E 55TH St
Suite 4C
New York, NY 10022-4030
Phone
(646) 657-9858
NPI assigned
Nov 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2155 NY Primary
Acupuncturist 171100000X 25MZ00070200 NJ

Addresses

Primary practice location

141 E 55TH St
Suite 4C
New York, NY 10022-4030

Mailing address

107 Canal View Dr
Lawrenceville, NJ 08648-1321
Phone (646) 657-9858

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MZ00070200NJMDAcupuncturist
2155NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258243200000",
    "number": "1821325697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CANAL VIEW DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481321",
            "telephone_number": "646-657-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST",
            "address_2": "SUITE 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224030",
            "telephone_number": "646-657-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTON",
        "name_prefix": "Mr.",
        "credential": "M.S. L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-15",
        "last_updated": "2009-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "2155",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00070200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2009; 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.