Active NPI
Lan NA Lee, M.D.
- Obstetrics & Gynecology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 257558
- Practice address
- Stonybrook University Medical Ctr
Department of Obstetrics and Gynecology
Stony Brook, NY 11794-0001 - Phone
- (631) 444-4686
- NPI assigned
- May 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A 117279 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 257558 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Stonybrook University Medical Ctr
Department of Obstetrics and Gynecology
Stony Brook, NY 11794-0001
Mailing address
30 Piedmont Dr
Apt 15
Port Jefferson Station, NY 11776-1117
Phone (917) 992-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Obstetrics/Gynecology
- Education
- State University of New York at Stony Brook, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
6066 Civic Terrace Ave
Newark, CA 94560-3746
Phone (510) 505-1600
664 Southland Mall
Hayward, CA 94545-2150
Phone (510) 266-1700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257558 | NY | MD | Obstetrics & Gynecology Physician |
| A 117279 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients |
Locations
15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600
6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
Interoperability endpoints
- llee16153@alamedahs.direct-ci.com
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1871751065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PIEDMONT DR",
"address_2": "APT 15",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761117",
"telephone_number": "917-992-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONYBROOK UNIVERSITY MEDICAL CTR",
"address_2": "DEPARTMENT OF OBSTETRICS AND GYNECOLOGY",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAN",
"middle_name": "NA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-25",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A 117279",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "257558",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.