Active NPI
Sang Il Lee, M.D.
- Family Medicine Physician
- Farmingdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 306776
- Practice address
- 206 Fallwood Pkwy
Farmingdale, NY 11735-4929 - Phone
- (631) 667-0388
- Fax
- (631) 968-7705
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 306776 | NY | Primary |
Addresses
Primary practice location
206 Fallwood Pkwy
Farmingdale, NY 11735-4929
Mailing address
15 Clearmeadow LN
Woodbury, NY 11797-1115
Other practice location 1
847 N Broadway
Massapequa, NY 11758-2373
Phone (631) 667-0388
Other practice location 2
2280A N Ocean Ave
Farmingville, NY 11738-2911
Phone (631) 698-7828
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
847 N Broadway
Massapequa, NY 11758-2373
Phone (631) 667-0388
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Comprehensive Medical Care PLLC | Current | Accepting new patients | |
| Shahzad Iqbal Physician PLLC | Past | Accepting new patients |
Locations
206 Fallwood Pkwy
Farmingdale, NY 11735
Phone (516) 248-1020
847 N Broadway
Massapequa, NY 11758
Phone (516) 798-0441
1231 Deer Park Ave
North Babylon, NY 11703
Phone 6316670388612
Interoperability endpoints
- sang.lee.p1@direct.saintjosephs.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/JDHCCD
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- North Babylon, NY
- NPI 1043588536
-
- Gastroenterology Physician
- Queens Village, NY
- NPI 1316331168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1972035103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CLEARMEADOW LN",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117971115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 FALLWOOD PKWY",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117354929",
"telephone_number": "631-667-0388",
"fax_number": "631-968-7705"
}
],
"practiceLocations": [
{
"address_1": "847 N Broadway",
"address_purpose": "LOCATION",
"city": "Massapequa",
"state": "NY",
"postal_code": "117582373",
"country_code": "US",
"telephone_number": "631-667-0388",
"fax_number": "631-968-7705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2280A N Ocean Ave",
"address_purpose": "LOCATION",
"city": "Farmingville",
"state": "NY",
"postal_code": "117382911",
"country_code": "US",
"telephone_number": "631-698-7828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SANG IL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "306776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.