Organization Active NPI

Eugene Lee, DDS., PC

  • Pediatric Dentistry
  • Levittown, NY
National Provider Identifier
1851874945
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Sep 13, 2018

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2405163MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.