Active NPI
Lee J Brooks, M.D.
- Pediatric Pulmonology Physician
- Voorhees, NJ
National Provider Identifier
1831108810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- MD069445L
- Practice address
- 1012 Laurel Oak Rd
Chop Care Network at Voorhees Specialty Care
Voorhees, NJ 08043-3505 - Phone
- (856) 435-0086
- Fax
- (856) 435-0091
- NPI assigned
- Aug 7, 2006
- Last updated
- Apr 17, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD069445L | PA | |
| Pediatrics Physician | 208000000X | 25MA06495200 | NJ | |
| Pediatric Pulmonology Physician | 2080P0214X | MD069445L | PA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | 25MA06495200 | NJ |
Addresses
Primary practice location
1012 Laurel Oak Rd
Chop Care Network at Voorhees Specialty Care
Voorhees, NJ 08043-3505
Mailing address
100 E Penn SQ
9TH Floor
Philadelphia, PA 19107-3323
Phone (267) 425-9234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7117906 | Medicaid | NJ | |
| 001044672 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD069445L | PA | MD | Pediatrics Physician |
| 25MA06495200 | NJ | MD | Pediatric Pulmonology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1831108810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E PENN SQ",
"address_2": "9TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073323",
"telephone_number": "267-425-9234",
"fax_number": "267-425-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 LAUREL OAK RD",
"address_2": "CHOP CARE NETWORK AT VOORHEES SPECIALTY CARE",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433505",
"telephone_number": "856-435-0086",
"fax_number": "856-435-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LEE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD069445L",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06495200",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "PA",
"license": "MD069445L",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NJ",
"license": "25MA06495200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7117906",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001044672",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.