Active NPI
Susan Lee, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1932273596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 232555
- Practice address
- 122 E 42ND St FL 17
New York, NY 10168-1799 - Phone
- (929) 428-2547
- Fax
- (651) 666-1930
- NPI assigned
- Nov 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 232555 | NY | Primary |
Addresses
Primary practice location
122 E 42ND St FL 17
New York, NY 10168-1799
Mailing address
PO Box 1519
New York, NY 10276-1519
Phone (929) 428-2547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01854282 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1932273596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1519",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102761519",
"telephone_number": "929-428-2547",
"fax_number": "651-666-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 42ND ST FL 17",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101681799",
"telephone_number": "929-428-2547",
"fax_number": "651-666-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "232555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01854282",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.