Organization Active NPI

Lee Aesthetic Center, LLC

  • Ophthalmology Physician
  • Warren, NJ
National Provider Identifier
1871983197
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA09441300 Issued in NJ
Legal business name
LEE AESTHETIC CENTER, LLC
Practice address
58 Mount Bethel Rd
Suite 302
Warren, NJ 07059-2654
Phone
(908) 738-1160
Fax
(908) 738-1170
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Henry Lee, MDNPI 1447412952
Title
Member
Phone
(732) 896-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA09441300 NJ Primary

Addresses

Primary practice location

58 Mount Bethel Rd
Suite 302
Warren, NJ 07059-2654

Mailing address

58 Mount Bethel Rd
Suite 302
Warren, NJ 07059-2654
Phone (908) 738-1160

National Provider Directory

National Provider Directory

Locations

12 Ridge St
Basking Ridge, NJ 07920
Phone (908) 766-1515

364 Springfield Ave
Unit 382
Berkeley Heights, NJ 07922

58 Mount Bethel Rd
Ste 302
Warren, NJ 07059
Phone (908) 738-1160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1871983197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MOUNT BETHEL RD",
            "address_2": "SUITE 302",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592654",
            "telephone_number": "908-738-1160",
            "fax_number": "908-738-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MOUNT BETHEL RD",
            "address_2": "SUITE 302",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592654",
            "telephone_number": "908-738-1160",
            "fax_number": "908-738-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE AESTHETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-896-0566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09441300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.