Individual provider Active NPI

Will W. Lee, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1982694600
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
220260 Issued in NY
Practice address
213 Madison Ave
Suite #1a
New York, NY 10016
Phone
(212) 725-0123
Fax
(212) 725-3738
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 82145 MA
Obstetrics & Gynecology Physician 207V00000X 220260 NY Primary

Addresses

Primary practice location

213 Madison Ave
Suite #1a
New York, NY 10016

Mailing address

213 Madison Ave
Suite #1a
New York, NY 10016
Phone (212) 725-0123

Other identifiers 1

IdentifierTypeStateIssuer
02245150MedicaidNY

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
I20040427001448 NY Practitioner - Obstetrics/Gynecology 1557358074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Geisel School of Medicine at Dartmouth, 1992
Medicare assignment
May accept Medicare assignment
Group practices
L'Refuah Medical and Rehabilitation Center, Inc.Group PAC ID 8628068731, shared by 4 NPIs, 17 clinicians

Practice addresses (Care Compare)

3710 13TH Ave
Brooklyn, NY 11218-3602
Phone (718) 686-7600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82145MAMDObstetrics & Gynecology Physician
220260NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosh Maternal Fetal Medicine PLLC Obstetrics & Gynecology CurrentSince Oct 30, 2020 Accepting new patients
Mid-Hudson Family Health Institute Past Accepting new patients

Locations

213 Madison Ave
Ste 1A
New York, NY 10016

903 Lexington Ave
Frnt 1A
New York, NY 10065

110 E 40th St
Rm 801
New York, NY 10016
Phone (212) 249-3939

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21664/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1982694600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MADISON AVE",
            "address_2": "SUITE #1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-725-0123",
            "fax_number": "212-725-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MADISON AVE",
            "address_2": "SUITE #1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-725-0123",
            "fax_number": "212-725-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILL",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "82145",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "220260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02245150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.