Individual provider Active NPI

Marjorie Lee, M.D.

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1861422958
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
126995 Issued in NY
Practice address
247 Third Avenue
Suite 403
New York, NY 10010-7455
Phone
(212) 533-1185
Fax
(212) 533-1394
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 126995 NY Primary
Internal Medicine Physician 207R00000X 126995 NY

Addresses

Primary practice location

247 Third Avenue
Suite 403
New York, NY 10010-7455

Mailing address

247 Third Avenue
Suite 403
New York, NY 10010-7455
Phone (212) 533-1185

Other identifiers 1

IdentifierTypeStateIssuer
00410191MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000033 NY Practitioner - Pulmonary Disease 9133312937 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
State University of New York Downstate Medical Center, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Union Health Center IncGroup PAC ID 1951290204, 33 clinicians

Practice addresses (Care Compare)

242 E 19TH St
Suite 3
New York, NY 10003-2634
Phone (212) 533-1185

275 7TH Ave
FL 4
New York, NY 10001-6757
Phone (212) 924-2510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126995NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Health Center Internal Medicine CurrentSince Jan 31, 1983 Accepting new patients
Union Health Center, Inc CurrentSince Jan 31, 1983 Accepting new patients

Locations

160 W 26th St
Fl 4
New York, NY 10001
Phone (212) 812-3736

275 7th Ave
Fl 4
New York, NY 10001
Phone (212) 812-3542

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1861422958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 THIRD AVENUE",
            "address_2": "SUITE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107455",
            "telephone_number": "212-533-1185",
            "fax_number": "212-533-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 THIRD AVENUE",
            "address_2": "SUITE 403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107455",
            "telephone_number": "212-533-1185",
            "fax_number": "212-533-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "126995",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "126995",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.