Individual provider Active NPI

Patricia Lee

  • Adult Health Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1861999740
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00841000 Issued in NJ
Practice address
3626 Route 1 N
Princeton, NJ 08540-5922
Phone
(609) 945-3611
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00841000 NJ Primary

Addresses

Primary practice location

3626 Route 1 N
Princeton, NJ 08540-5922

Mailing address

3626 Route 1 N
Princeton, NJ 08540-5922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523001131 NJ Practitioner - Nurse Practitioner 6709141765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00841000NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC CurrentSince Apr 18, 2018 Accepting new patients

Locations

1020 Pitney Rd
Absecon, NJ 08201
Phone (609) 646-5400

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

1151 W Main St
Freehold, NJ 07728
Phone (732) 202-1000

3419 US Highway 9
Freehold, NJ 07728
Phone (732) 677-1200

485 River Ave
Lakewood, NJ 08701
Phone (732) 364-7100

1400 Route 70
Lakewood, NJ 08701
Phone (732) 270-0444

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

1657 Silverton Rd
Toms River, NJ 08753
Phone (732) 255-5754

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1861999740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 ROUTE 1 N",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 ROUTE 1 N",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-945-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00841000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.