Active NPI
Larry E Lee, MD
- Pain Medicine (Anesthesiology) Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 249634
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 471-3289
- NPI assigned
- May 3, 2007
- Last updated
- Apr 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 249634 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116016790 | VA |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
3998 Fair Ridge Dr
Fairfax, VA 22033-2921
Phone (703) 295-9360
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7213
6254 97TH PL
Rego Park, NY 11374-1346
Phone (718) 271-9900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116016790 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Pain Medicine | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| PPG Anesthesia, PLLC | Current | Accepting new patients | |
| Physicians Choice Surgicenter Inc | Past | Accepting new patients |
Locations
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
8212 151st Ave
#12
Howard Beach, NY 11414
Phone (718) 322-9800
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
2454 Hylan Blvd
Staten Island, NY 10306
Phone (718) 233-1300
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1740430727
-
dba Cornell Anes Assoc
- Anesthesiology Physician
- New York, NY
- NPI 1619917341
Pain Medicine
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Ambulatory Surgical Clinic/Center
- Howard Beach, NY
- NPI 1730301284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1861614281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-471-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LARRY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "249634",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116016790",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.