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SOO LEE PA-C
NPI 1366779415
Physician Assistant in New York, NY

Active since November 11, 2009PECOS EnrolledAccepts Medicare Assignment
30 BROAD ST, NEW YORK, NY 10004(212) 530-0630 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2020, Dec 24, 2018 (2 updates tracked since 2018).

About Soo Lee Pa-c NPPES

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

SOO LEE PA-C (NPI 1366779415) is an individual physician assistant in New York, New York, licensed in New York (023261) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366779415
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOO LEECredential: PA-C
Location Address30 BROAD STNew York, NY 10004-2304
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(212) 530-0630
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 11, 2009
Last NPPES UpdateApril 24, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1366779415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 023261✔ Licensed in TX · PA18172
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA 9105081 (FL)
30 BROAD ST, New York, NY 10004
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Secondary Practice Locations 2

Location 1960 Backstage laneLake Buena Vista, FL 32830 · Phone (407) 934-4100
Location 21830 Watermere LnWindermere, FL 34786-6121 · Phone (617) 429-6283

Other Identifiers 1

Medicaid0027424-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soo Lee Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305030487
PECOS Enrollment IDI20220111002156
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10004 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

TIFFANY MAK PT, DPT
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
New York County (646) 790-7454
MEGHA D PADHIAR MSPT
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
New York County (646) 790-7454
GREGORY E MISCH M.P.T
Physical Therapist
30 BROAD ST, 12TH FLOOR
NEW YORK, NY 10004
New York County (212) 587-8606
DR. PATRICK VIOLANTI
Chiropractor (Sports Physician)
30 BROAD ST
NEW YORK, NY 10004
New York County (212) 792-9292
SUNNY DILIP THAKKAR PT
Physical Therapist
30 BROAD ST, 12TH FLOOR
NEW YORK, NY 10004
New York County (212) 587-8606
CHRISTINE ANN LEE PT, DPT
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
New York County (646) 790-7454
SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC
Physical Therapist
30 BROAD ST, LEVEL A
NEW YORK, NY 10004
New York County (646) 790-7454
MELANIE CHANG NP, RN
Nurse Practitioner
30 BROAD ST, 45TH FLOOR
NEW YORK, NY 10004
New York County (888) 663-6331

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 Soo Lee's NPI number?

The NPI number for Soo Lee is 1366779415. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Soo Lee located?

Soo Lee practices at 30 Broad St, New York, NY 10004. The listed phone number is (212) 530-0630.

What is Soo Lee's specialty?

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

Is Soo Lee enrolled in Medicare?

Yes. Soo Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Soo Lee accept?

Health plans from Blue Cross and Blue Shield of NC list Soo Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soo Lee was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.