Active NPI
Eugene Lee, DDS., PC
- Pediatric Dentistry
- Levittown, NY
National Provider Identifier
1851874945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- EUGENE LEE, DDS., PC
- Practice address
- 636A Wantagh Ave
Levittown, NY 11756-5325 - Phone
- (516) 450-5159
- Fax
- (516) 706-9288
- NPI assigned
- Sep 13, 2018
- 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
- Maritza Duran
- Title
- Office Mang
- Phone
- (516) 229-1441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
636A Wantagh Ave
Levittown, NY 11756-5325
Mailing address
636A Wantagh Ave
Levittown, NY 11756-5325
Phone (516) 450-5159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2405163 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
636 Wantagh Ave
#A
Levittown, NY 11756
Phone (516) 450-5159
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Forest Hills, NY
- NPI 1437140563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536796800000",
"number": "1851874945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636A WANTAGH AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117565325",
"telephone_number": "516-450-5159",
"fax_number": "516-706-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636A WANTAGH AVE",
"city": "LEVITTOWN",
"state": "NY",
"postal_code": "117565325",
"telephone_number": "516-450-5159",
"fax_number": "516-706-9288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE LEE, DDS., PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "MARITZA",
"authorized_official_title_or_position": "OFFICE MANG",
"authorized_official_telephone_number": "516-229-1441"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2405163",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.