Active NPI
Booyong Ha Lee, M.D.
- Pediatrics Physician
- Briarcliff Manor, NY
National Provider Identifier
1871880864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 116443
- Practice address
- 107 Hickory Road
Briarcliff Manor, NY 10510 - Phone
- (914) 373-4241
- Fax
- (914) 373-4241
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 116443 | NY | Primary |
Addresses
Primary practice location
107 Hickory Road
Briarcliff Manor, NY 10510
Mailing address
107 Hickory Road
Briarcliff Manor, NY 10510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00215614 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116443 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1871880864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HICKORY ROAD",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "10510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 HICKORY ROAD",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "10510",
"telephone_number": "914-373-4241",
"fax_number": "914-373-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BOOYONG",
"middle_name": "HA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "116443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00215614",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Briarcliff Manor, NY
- Margot Lacey, PSY.D.
- Warren H Landesberg, D.C.
- Susan L Lauer, PT
- Dennis Lavelle, D.C.
- Blake Allister Le Grand, MD
- Georgina I Lester, M. D.
- Lidia Pousada, MD, P.C. (Hudson Valley Geriatrics & Internal Medicine)
- Alfonso Eduardo Llosa Guerra
- Joyce Lockwood Roach, DDS
- Alexandra Nicole Lorenz, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.