Active NPI
J. T. Lee, MD, PA
- Health Maintenance Organization
- Havre de Grace, MD
National Provider Identifier
1841244126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- D0020661
- Legal business name
- J. T. LEE, MD, PA
- Practice address
- 669 Revolution St
Havre de Grace, MD 21078-3319 - Phone
- (410) 939-2840
- Fax
- (410) 939-2329
- NPI assigned
- May 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean T Lee, M.D.
- Title
- President
- Phone
- (410) 939-2840
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0020661 | MD | |
| Health Maintenance Organization | 302R00000X | D0020661 | MD | Primary |
Addresses
Primary practice location
669 Revolution St
Havre de Grace, MD 21078-3319
Mailing address
669 Revolution St
Havre de Grace, MD 21078-3319
Phone (410) 939-2840
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0667476 | J T Lee MD PA | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1841244126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783319",
"telephone_number": "410-939-2840",
"fax_number": "410-939-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783319",
"telephone_number": "410-939-2840",
"fax_number": "410-939-2329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. T. LEE, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-939-2840",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0020661",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MD",
"license": "D0020661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.