Active NPI
Jennifer Lee
- Psychiatry Physician
- Glen Oaks, NY
National Provider Identifier
1972242097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 338722
- Practice address
- 7559 263Rd St
Glen Oaks, NY 11004-1150 - Phone
- (818) 787-2222
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 197985 | CA | |
| Psychiatry Physician | 2084P0800X | 338722 | NY | Primary |
Addresses
Primary practice location
7559 263Rd St
Glen Oaks, NY 11004-1150
Mailing address
7559 263Rd St
Glen Oaks, NY 11004-1100
Phone (818) 904-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197985 | CA | MD | Psychiatry Physician |
| 338722 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- jlee438365@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1972242097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041100",
"telephone_number": "818-904-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7559 263RD ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041150",
"telephone_number": "818-787-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "197985",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "338722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.