Active NPI
David W. Lee MD PA
- Adult Medicine Physician
- Fort Lee, NJ
National Provider Identifier
1932394079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- DAVID W. LEE MD PA
- Practice address
- 1625 Anderson Ave
204
Fort Lee, NJ 07024-2748 - Phone
- (201) 224-0011
- Fax
- (201) 224-8920
- NPI assigned
- Sep 12, 2007
- Last updated
- Sep 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David W. Lee, MD
- Title
- President
- Phone
- (201) 224-0011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
1625 Anderson Ave
204
Fort Lee, NJ 07024-2748
Mailing address
1625 Anderson Ave
204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 165
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1932394079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 ANDERSON AVE",
"address_2": "204",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242748",
"telephone_number": "201-224-0011",
"fax_number": "201-224-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 ANDERSON AVE",
"address_2": "204",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242748",
"telephone_number": "201-224-0011",
"fax_number": "201-224-8920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W. LEE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-224-0011",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.