Individual provider Active NPI

Ada Chukkwan Lee, NP

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1932648706
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010414 Issued in DE
Practice address
2600 Glasgow Ave Ste 203
Newark, DE 19702-5704
Phone
(302) 204-1639
Fax
(302) 209-6927
NPI assigned
Feb 14, 2017
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LP-0010414 DE Primary
Adult Health Nurse Practitioner 363LA2200X F307989-1 NY
Gerontology Nurse Practitioner 363LG0600X LP-0010414 DE
Primary Care Nurse Practitioner 363LP2300X LP-0010414 DE

Addresses

Primary practice location

2600 Glasgow Ave Ste 203
Newark, DE 19702-5704

Mailing address

220 Silver Birch LN
Bear, DE 19701-2384
Phone (917) 915-8506

Other practice location 1

19 Southdown Rd
Huntington, NY 11743-2538
Phone (631) 470-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171115001694 NY Practitioner - Nurse Practitioner 2264798867 Reassigns benefits to 2 organizations
I20211223000435 DE Practitioner - Nurse Practitioner 2264798867 Reassigns benefits to 3 organizations
I20240626003125 MD Practitioner - Nurse Practitioner 2264798867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2600 Glasgow Ave
Suite 203
Newark, DE 19702-5704
Phone (302) 204-1639

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
307989NYMDFamily Medicine Physician
F307989-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dialog Healthcare, LLC Nurse Practitioner CurrentSince Dec 17, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 19, 2024 Accepting new patients
Primecare Comprehensive Health, LLC Gerontology CurrentSince Jul 17, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 19, 2024 Accepting new patients
Evelyn Llanos MD PC CurrentSince Nov 1, 2018 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 7, 2024 Accepting new patients
Ae&Ly Ambulatory Endoscopy PLLC Past Accepting new patients
Ae & Ly Medical Associates PLLC Past Accepting new patients

Locations

100 Saint Clare Dr
Hockessin, DE 19707
Phone (302) 234-5420

2600 Glasgow Ave
Ste 203
Newark, DE 19702
Phone (302) 204-1639

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

50 Chestnut Ridge Rd
Ste 130
Montvale, NJ 07645
Phone (845) 213-3134

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

19 Southdown Rd
Huntington, NY 11743
Phone (631) 470-2572

19 Southdown Rd
#2538
Huntington, NY 11743
Phone (631) 470-2572

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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 1

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1932648706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SILVER BIRCH LN",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012384",
            "telephone_number": "917-915-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-204-1639",
            "fax_number": "302-209-6927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Southdown Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432538",
            "country_code": "US",
            "telephone_number": "631-470-2572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ADA",
        "middle_name": "CHUKKWAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010414",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307989-1",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LP-0010414",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP-0010414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.