MS. ATHENA LEE (NPI# 1639374911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639374911 |
| Entity Type | Individual |
| Full Name | MS. ATHENA LEE |
| Credential | PA-C |
| Practice Address |
136 Mountainview Blvd Basking Ridge NJ 07920-3444 |
| Mailing Address |
24 Hamilton Rd Basking Ridge NJ 07920-3724 |
| Practice Telephone | 9085423500 |
| Mailing Telephone | 9083266573 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004951-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
136 MOUNTAINVIEW BLVD |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922036896 | Tammy Huang | Radiology | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2006-06-29 |
| 1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
| 1740826528 | Marina Botrous Elfar | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-11-27 |
| 1346891421 | Rachel Hilary Breitman | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-09-20 |
| 1275180812 | Carissa Laudati | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-08-19 |
| 1528552858 | Jacqueline Diaz | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2018-06-20 |
| 1770026742 | Amy Lynn Dahl | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-11-23 |
| 1417311754 | Irina Konzelmann | Internal Medicine | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-04-13 |
| 1508247818 | Memorial Sloan Kettering | Pharmacy | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-06-11 |
| 1821475666 | Olivia Ayse Baldisserotto | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
Please comment or provide details below to improve the information on MS. ATHENA LEE.
| 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.