Individual provider Active NPI

Vincent Lee, MD

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1881013738
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA09640600 Issued in NJ
Practice address
483 Cranbury Road
University Radiology Group, PC
East Brunswick, NJ 08816
Phone
(732) 390-0030
Fax
(732) 390-1856
NPI assigned
Apr 8, 2014
Last updated
Sep 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 25MA09640600 NJ
Diagnostic Radiology Physician 2085R0202X 25MA09640600 NJ Primary

Addresses

Primary practice location

483 Cranbury Road
University Radiology Group, PC
East Brunswick, NJ 08816

Mailing address

579A Cranbury Road
University Radiology Group, PC
East Brunswick, NJ 08816
Phone (732) 390-0040

Other identifiers 1

IdentifierTypeStateIssuer
0462438MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130000629 NY Practitioner - Diagnostic Radiology 2163647256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

100 College Pkwy
Suite 180
Williamsville, NY 14221-6800
Phone (716) 636-1902

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09640600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC CurrentSince Jan 13, 2024 Accepting new patients
Kaleida Health Current Accepting new patients
Dia Invision Health Pediatric Radiology CurrentSince Jan 13, 2024 Accepting new patients
Kaleida Health Pediatric Radiology CurrentSince Jan 1, 2022 Accepting new patients
Great Lakes Medical Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Kaleida Health CurrentSince Jan 1, 2022 Accepting new patients
Jersey Shore Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
University Radiology at Buffalo, Inc. Diagnostic Radiology Past Accepting new patients
Pediatric and Adolescent Urgent Care of Western New York Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

500 Sterling Dr
#2
Orchard Park, NY 14127

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

3850 Saunders Settlement Rd
Ste 150
Sanborn, NY 14132

100 College Pkwy
Ste 180
Williamsville, NY 14221
Phone (716) 636-1802

111 N Maplemere Rd
Ste 120
Williamsville, NY 14221
Phone (716) 836-4646

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

199 Park Club Ln
Ste 300
Williamsville, NY 14221
Phone (716) 332-8074

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1881013738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY ROAD",
            "address_2": "UNIVERSITY RADIOLOGY GROUP, PC",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CRANBURY ROAD",
            "address_2": "UNIVERSITY RADIOLOGY GROUP, PC",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-390-0030",
            "fax_number": "732-390-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NJ",
            "license": "25MA09640600",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09640600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462438",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.