Organization Active NPI

Kevin S. Lee, M.D. & Stephen S. Lee, M.D.,PC

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1992984900
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
186405 Issued in NY
Legal business name
KEVIN S. LEE, M.D. & STEPHEN S. LEE, M.D.,PC
Practice address
2704 Parsons Blvd
Flushing, NY 11354-1343
Phone
(718) 321-9090
Fax
(718) 321-9090
NPI assigned
Oct 25, 2007
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Dr. Kevin S. Lee, M.D.NPI 1003976077
Title
Physician
Phone
(718) 321-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 186405 NY Primary

Addresses

Primary practice location

2704 Parsons Blvd
Flushing, NY 11354-1343

Mailing address

2704 Parsons Blvd
Flushing, NY 11354-1343
Phone (718) 321-9090

Other identifiers 1

IdentifierTypeStateIssuer
01665998MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000632 NY Part B Supplier - Clinic/Group Practice 5395905764 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

1649 Deer Park Ave
Deer Park, NY 11729
Phone (516) 667-8178

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1992984900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541343",
            "telephone_number": "718-321-9090",
            "fax_number": "718-661-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541343",
            "telephone_number": "718-321-9090",
            "fax_number": "718-321-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S. LEE, M.D. & STEPHEN S. LEE, M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-321-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "186405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01665998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.