Individual provider Active NPI

John Yang Lee, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1932983236
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
322286 Issued in NY
Practice address
14415 41St Ave Apt L4
Flushing, NY 11355-1438
Phone
(929) 867-4872
Fax
(888) 518-3682
NPI assigned
Aug 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 322286 NY Primary

Addresses

Primary practice location

14415 41St Ave Apt L4
Flushing, NY 11355-1438

Mailing address

14415 41St Ave Apt L4
Flushing, NY 11355-1438
Phone (929) 867-4872

Other names 1

  • Jian Li Former name

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
I20231211000753 NY Practitioner - Family PracticePractitioner - Internal Medicine 3274982624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14415 41St Ave
Apt L4
Flushing, NY 11355-1438
Phone (929) 867-4872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322286NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Medical Services, P.C. Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Four Season Medical PLLC Multi-Specialty CurrentSince Oct 22, 2023 Accepting new patients
Eastern Eye Care Optometry, PLLC Multi-Specialty PastSince Sep 15, 2024 Accepting new patients
New Life Medical Esthetics & Wellness PLLC Multi-Specialty PastSince Oct 1, 2023 Accepting new patients

Locations

837 59th St
Brooklyn, NY 11220
Phone (718) 975-8415

7112 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 232-8500

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18900/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1932983236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 41ST AVE APT L4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551438",
            "telephone_number": "929-867-4872",
            "fax_number": "888-518-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14415 41ST AVE APT L4",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551438",
            "telephone_number": "929-867-4872",
            "fax_number": "888-518-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "YANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "322286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIAN",
            "last_name": "LI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.