DR. DAVID CHARLES LEE (NPI# 1275633562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275633562 |
| Entity Type | Individual |
| Full Name | DR. DAVID CHARLES LEE |
| Credential | M.D. |
| Practice Address |
520 Stokes Road Suite A-4 Medford NJ 08055-2904 |
| Practice Telephone | 6097147774 |
| Practice Fax Number | 6097147775 |
| Mailing Telephone | 6097147774 |
| Mailing Fax Number | 6097147775 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
49817 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RAILROAD MEDICARE | 130023199 | 01 |
| NJ | AETNA | 2385960 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1891309480 | David B Lee | Physical Therapist | 311 E 85th St Apt 3c, New York, NY 10028-4534 | 2020-09-01 |
| 1710599576 | David Thai Wai Lee | Physical Therapist | 27772 Manor Hill Rd, Laguna Niguel, CA 92677-6008 | 2020-08-21 |
| 1356973424 | David Hsin Shan Lee | Registered Nurse | 87-1113 Oheohe St, Waianae, HI 96792-3457 | 2020-02-06 |
| 1114489846 | David Lee | Student in an Organized Health Care Education/Training Program | 800 Ne 67th St Apt 349, Seattle, WA 98115-5853 | 2019-04-02 |
| 1518448901 | David Lee | Pharmacist | 475 W 24th St Apt 2h, Chicago, IL 60616-4673 | 2018-08-24 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1083063408 | David Lee | Anesthesiology | 121 S Hope St Apt 421, Los Angeles, CA 90012-5018 | 2016-06-07 |
| 1235510983 | David Jinkyu Lee | Radiology | 601 N Caroline St # 3251, Baltimore, MD 21287-0006 | 2015-06-17 |
| Street Address |
520 STOKES ROAD SUITE A-4 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009356 | Burlington County Foot & Ankle Assoc, Inc | Podiatrist | 520 Stokes Road, Suite C-5, Medford, NJ 08055 | 2005-08-09 |
| 1134494347 | Kim S.nagle, Dc | Chiropractor | 520 Stokes Road, Suite B1, Medford, NJ 08055-2915 | 2012-03-21 |
| 1205828787 | John M. Depalma | Podiatrist | 520 Stokes Road, Suite C-5, Medford, NJ 08055 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659519767 | Cynthia Shearn Tainsh | Psychiatry & Neurology | 97 Westwood Rd, Medford, MA 02155-1637 | 2009-01-27 |
| 1528217460 | Christopher Dardis | Psychiatry & Neurology | 2900 State St Ste 101, Medford, OR 97504-8458 | 2008-09-16 |
| 1225249675 | Bruce Ehrenberg | Psychiatry & Neurology | 4 Colby St, Medford, MA 02155-6013 | 2007-05-25 |
| 1366658627 | Nishant Singh Ranawat | Psychiatry & Neurology | Asante Rogue Regional Medical Center, 2825 E Barnett Road, Medford, OR 97504 | 2007-05-15 |
| 1922143296 | Eugenia Blank | Psychiatry & Neurology | 170 Governors Ave Ste 258, Medford, MA 02155-1643 | 2007-02-21 |
| 1912963661 | Larry Jou Maukonen | Psychiatry & Neurology | 897 Royal Ave, Suite B, Medford, OR 97504 | 2006-04-21 |
| 1265416317 | South Jersey Neurocare Pa | Psychiatry & Neurology | 520 Stokes Rd, Suite A-4, Medford, NJ 08055-2904 | 2005-12-02 |
| 1063412427 | Oscar Adolfo Sanchez | Psychiatry & Neurology | 520 Medical Center Drive, Medford, OR 97504 | 2005-07-28 |
| 1720424591 | Minji Kim | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2013-05-20 |
| 1578821013 | Sabre Amira Patton-fee | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504 | 2012-05-02 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.