JOSEPH YAE-DAM LEE PA-C
NPI 1063379543
Physician Assistant in Reston, VA

Active since January 07, 2026
1830 TOWN CENTER DR STE 405, RESTON, VA 20190(703) 481-9191 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Joseph Yae-dam Lee Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH YAE-DAM LEE PA-C (NPI 1063379543) is an individual physician assistant in Reston, Virginia, licensed in Virginia (0110011941) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1063379543
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH YAE-DAM LEECredential: PA-C
Location Address1830 TOWN CENTER DR STE 405Reston, VA 20190-3218
Mailing Address1830 Town Center Dr Ste 405Reston, VA 20190-3218 · (703) 481-9191
Sole ProprietorYes
Enumeration DateJanuary 7, 2026
Last NPPES UpdateMay 25, 20262 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
NPI 1063379543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110011941
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1830 TOWN CENTER DR STE 405, Reston, VA 20190

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1830 TOWN CENTER DR STE 405
RESTON, VA 20190
Nurse Practitioner (Family)
1830 TOWN CENTER DR STE 405
RESTON, VA 20190
Internal Medicine (Cardiovascular Disease)
1830 TOWN CENTER DR STE 405
RESTON, VA 20190
Internal Medicine (Cardiovascular Disease)
1830 TOWN CENTER DR STE 405
RESTON, VA 20190
Internal Medicine (Interventional Cardiology)
1830 TOWN CENTER DR STE 405
RESTON, VA 20190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Lee's NPI number?

The NPI number for Joseph Lee is 1063379543. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Joseph Lee located?

Joseph Lee practices at 1830 Town Center Dr Ste 405, Reston, VA 20190. The listed phone number is (703) 481-9191.

What is Joseph Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Joseph Lee was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.