NELLIE LEE M.D. P.A. NPI 1518014158

NPI Information

NPI: 1518014158
Provider Name: NELLIE LEE M.D., P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
190 EUCLID AVE
RIDGEFIELD PARK, NJ
ZIP 07660
Phone: (201) 440-3366
Get Directions

NELLIE LEE M.D., P.A. is a cardiovascular disease internal medicine in Ridgefield Park, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NELLIE LEE M.D., P.A. NPI is 1518014158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

190 EUCLID AVE
RIDGEFIELD PARK, NJ
ZIP 07660-742
Phone: (201) 440-3366
Fax: (201) 807-0705

The provider's authorized official is Nellie Lee .
The authorized official title is President and has the following contact phone number (201) 440-3366.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA02733100	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2998301	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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