DIANA SOOJUNG LEE M.D.
NPI 1336323179
Pediatrics in Bronx, NY

Q: What is Diana Lee's NPI number?

The NPI number for Diana Lee is 1336323179. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Q: What is Diana Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Lee was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.

Active since December 27, 2007PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2426 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Diana Soojung Lee M.d. NPPES

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

DIANA SOOJUNG LEE M.D. (NPI 1336323179) is an individual pediatrics provider in Bronx, New York, licensed in New York (256889) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336323179

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDIANA SOOJUNG LEECredential: M.D.

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address3415 Bainbridge AveBronx, NY 10467-2403 · (718) 741-2426

Phone(718) 741-2426

Sole ProprietorNo

Enumeration DateDecember 27, 2007

Last NPPES UpdateJune 29, 2010

✔ NPI 1336323179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 256889

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3415 BAINBRIDGE AVE, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Soojung Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. ASHLEY RAE NOBOA MSN, FNP-C

Nurse Practitioner (Family)