Derek Lee (NPI# 1932206521, PAC ID# 1052586849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1932206521 |
| PAC ID by PECOS | 1052586849 |
| Professional Enrollment ID | I20111207000080 |
| Full Name | Derek Lee |
| Address |
201 S Livingston Ave Suite 1c Livingston NJ 07039-4040 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| 310076 | SAINT BARNABAS MEDICAL CENTER |
| 310096 | SAINT MICHAEL'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 S Livingston Ave, Suite 1c, Livingston, NJ 07039-4040 |
| Street Address |
201 S LIVINGSTON AVE SUITE 1C |
| City | LIVINGSTON |
| State | NJ |
| Zip | 07039-4040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celeste A Jacque | Psychiatry | 201 S Livingston Ave, Suite 1a, Livingston, NJ 07039-4040 | |
| Jennifer Goldberg | Physician Assistant | Livingston Dermatology Associates | 201 S Livingston Ave, Suite 1f, Livingston, NJ 07039-4040 |
| Kristen M Luzzi | Physician Assistant | Livingston Dermatology Associates | 201 S Livingston Ave, Suite 1f, Livingston, NJ 07039-4040 |
| Emily S Bahler | Geriatric Medicine | 201 S Livingston Ave, Suite 2f, Livingston, NJ 07039-4040 | |
| Cheng Ku | Physical Therapy | 201 S Livingston Ave, Suite 2e, Livingston, NJ 07039-4040 | |
| Alan S Bahler | Cardiovascular Disease (cardiology) | 201 S Livingston Ave, Suite 2f, Livingston, NJ 07039-4040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Bruckner | Podiatry | 13 Birch Tree Ln, Livingston, NJ 07039-1202 | |
| Danielle Plotno | Clinical Social Worker | 7 Driftwood Dr, Livingston, NJ 07039-1425 | |
| Amy Knitzer | Clinical Social Worker | Keith Golin Phd LLC | 369 E Mount Pleasant Ave, Livingston, NJ 07039-1503 |
| Cristina Shaheen | Psychologist, Clinical | 369 E Mount Pleasant Ave, Brandywine Living At Livingston, Livingston, NJ 07039-1503 | |
| Frank R Ferrise | Psychologist, Clinical | 629 W Mount Pleasant Ave, Livingston, NJ 07039-1609 | |
| William F Ivory | Psychologist, Clinical | Daniel Edelman, Psy.d.p.c. | 15 Microlab Rd, Suite 17, Livingston, NJ 07039-1618 |
| Daniel M Edelman | Psychologist, Clinical | Daniel Edelman, Psy.d.p.c. | 15 Microlab Rd, Suite 17, Livingston, NJ 07039-1618 |
| Jodi L Fox | Clinical Social Worker | Jewish Family Service of Metrowest | 570 W Mount Pleasant Ave, Suite 106, Livingston, NJ 07039-1619 |
| Anne E Mollen | Clinical Social Worker | Jewish Family Service of Metrowest | 570 W Mt Pleasant Ave, Livingston, NJ 07039-1619 |
| Alyson M Kaplan | Clinical Social Worker | Jewish Family Service of Metrowest | 570 W Mount Pleasant Ave, Suite 106, Livingston, NJ 07039-1619 |
| Find all physicians in zip 07039 | |||
| City | LIVINGSTON |
| Zip Code | 07039 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LIVINGSTON + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Derek Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.