Active NPIIndividual provider

Jeffrey R Lee, RPA-C

Physician Assistant, Surgical in Fair Lawn, New Jersey

NPI Number1710085097
Practice location
28-04 Broadway, Fair Lawn, NJ 07410-3913
Fax
201-475-8740
Last updated
September 16, 2013

Jeffrey R Lee is a Physician Assistant, Surgical based in Fair Lawn, NJ. Jeffrey R Lee practices in Fair Lawn, NJ and has the professional credentials of RPA-C. The NPI Number for Jeffrey R Lee is 1710085097 and holds a License No. 006996-1 (NY). The current practice location address for Jeffrey R Lee is 28-04 Broadway, Fair Lawn, NJ 07410-3913 and can be reached out via phone at 201-791-4434 and via fax at 201-475-8740.

Provider Profile Details

NPI Number
1710085097
Provider Name
Jeffrey R Lee
Credential
RPA-C
Provider Entity Type
Individual
Gender
Male
Address
28-04 Broadway, Fair Lawn, NJ 07410-3913
Phone Number
201-791-4434
Fax Number
201-475-8740
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
September 20, 2006
Last Update Date
September 16, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
28-04 Broadway
Fair Lawn, NJ 07410-3913
Zip
07410-3913
Phone Number
201-791-4434
Fax Number
201-475-8740
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
28-04 Broadway
Fair Lawn, NJ 07410-3913
City
Fair Lawn
State
NJ
Zip
07410-3913
Phone Number
201-791-4434
Fax Number
201-475-8740

License Information

License Number (1)
006996-1
License State (1)
NY
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
25MP00045000
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeffrey R Lee, RPA-C?

The NPI number of Jeffrey R Lee, RPA-C is 1710085097. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Jeffrey R Lee, RPA-C?

Jeffrey R Lee, RPA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 006996-1.

Where does Jeffrey R Lee, RPA-C practice?

The practice location is 28-04 Broadway, Fair Lawn, NJ 07410-3913. The office can be reached at 201-791-4434 (phone) or 201-475-8740 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710085097 directly on the NPPES registry website.

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