Individual provider Active NPI

Daniel James Lee, MD

  • Vascular Surgery Physician
  • Pennington, NJ
National Provider Identifier
1992799977
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA68859 Issued in NJ
Practice address
2 Capital Way Ste 456
Pennington, NJ 08534-2521
Phone
(609) 537-7300
Fax
(609) 537-7302
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MA68859 NJ Primary

Addresses

Primary practice location

2 Capital Way Ste 456
Pennington, NJ 08534-2521

Mailing address

2 Capital Way
Suite 390
Pennington, NJ 08534-2519
Phone (609) 818-0040

Other practice location 1

2 Capital Way Ste 356
Pennington, NJ 08534-2521
Phone (609) 537-6000

Other identifiers 1

IdentifierTypeStateIssuer
7908504MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.lee.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68859NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dellacroce Lee & Hardesty Vascular Surgery Current Accepting new patients

Locations

2 Capital Way
Ste 390
Pennington, NJ 08534
Phone (267) 715-0700

416 Bellevue Ave
Ste 304
Trenton, NJ 08618
Phone (609) 392-2737

Interoperability endpoints

  • Direct secure messaging: daniel.lee.1@12833.direct.athenahealth.com

Organizations & group practices 1

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1992799977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "SUITE 390",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342519",
            "telephone_number": "609-818-0040",
            "fax_number": "609-818-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 456",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-7300",
            "fax_number": "609-537-7302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Capital Way Ste 356",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342521",
            "country_code": "US",
            "telephone_number": "609-537-6000",
            "fax_number": "609-537-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA68859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908504",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.lee.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 356",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.