Organization Active NPI

Lee G Dante Mdpa

  • Psychiatry Physician
  • Merion Station, PA
National Provider Identifier
1851504880
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD014206E Issued in PA
Legal business name
LEE G DANTE MDPA
Practice address
321 Berkeley Rd
Merion Station, PA 19066-1403
Phone
(610) 667-5488
Fax
(610) 667-8117
NPI assigned
May 7, 2007
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Dr. Lee Gerard Dante, MDNPI 1649483678
Title
President
Phone
(610) 667-5448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD014206E PA Primary

Addresses

Primary practice location

321 Berkeley Rd
Merion Station, PA 19066-1403

Mailing address

321 Berkeley Rd
Merion Station, PA 19066-1403
Phone (610) 667-5488

Other identifiers 2

IdentifierTypeStateIssuer
525681000MedicaidMD
998300MedicaidPA

National Provider Directory

National Provider Directory

Locations

166 W Main St
Elkton, MD 21921
Phone (410) 398-5983

2801 Island Ave
Ste 9
Philadelphia, PA 19153
Phone (610) 662-3550

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1851504880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BERKELEY RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661403",
            "telephone_number": "610-667-5488",
            "fax_number": "610-667-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BERKELEY RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661403",
            "telephone_number": "610-667-5488",
            "fax_number": "610-667-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE G DANTE MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "DANTE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-667-5448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD014206E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525681000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998300",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merion Station, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.