Mark Dah Jen Lee Surgery PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

182896 Issued in NY

Legal business name

MARK DAH JEN LEE SURGERY PC

Doing business as

Mark Lee, MD

Practice address

86 Bowery # 5F
New York, NY 10013-4615

Phone

(212) 343-0379

Fax

(212) 343-0393

NPI assigned

Mar 24, 2008

Last updated

Nov 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Dah Jen Lee, MD

Title

President

Phone

(212) 343-0379

Specialties & licenses 1

Addresses

Other identifiers 20

Other names 1

• Mark Lee, MD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ghanshyam Bhambhani, M.D

  • Cardiovascular Disease Physician
  • Ozone Park, NY
  • NPI 1972565562
  NPD (past)
• Jonathan Mt Chang, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1114968385
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1841462413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CANAL ST FRNT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134537",
            "telephone_number": "212-343-0379",
            "fax_number": "212-343-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BOWERY # 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134615",
            "telephone_number": "212-343-0379",
            "fax_number": "212-343-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAH JEN LEE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAH JEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-343-0379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "182896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "051227300808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERCARE",
            "identifier": "051227300808",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HALTHCARE",
            "identifier": "1700749",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01253832",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "051227300808",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCAER",
            "identifier": "1010813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "182896",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "182896B31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF NORTHEAST",
            "identifier": "5C6359",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010182896NY03",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "335200101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "182896-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLUE SHIELD",
            "identifier": "2801H1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "182896",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2700066",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0100572",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER CARE",
            "identifier": "051227300808",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "119862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "2801H1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Lee, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Allen Kemble and Nicolas Palacios Meza Physicians PC (Proactive MD Jane Street Capital)
• Mark C Homonoff MD PLLC
• Mark C Lee DDS PLLC
• Mark D. Fromer, M.D., P.C.
• Mark D. Horowitz MD PC
• Mark Drakos MD PLLC
• Mark Dursztman MD PLLC
• Mark E Pruzansky MD PC
• Mark E. Pruzansky, MD, PC
• Mark Erlich MD

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.