TRACY JAE WON LEE MD
NPI 1386688984
Radiology - Body Imaging in Mineola, NY

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

Active since June 15, 2006PECOS Enrolled

120 MINEOLA BLVD, STE 10 LOWER LEVEL, MINEOLA, NY 11501(516) 663-4510(516) 663-3698 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tracy Jae Won Lee Md NPPES

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

TRACY JAE WON LEE MD (NPI 1386688984) is an individual body imaging provider in Mineola, New York, licensed in New York (230112) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386688984

Entity TypeIndividualFemale

Primary Taxonomy2085B0100X

Provider Legal NameTRACY JAE WON LEECredential: MD

Location Address120 MINEOLA BLVD, STE 10 LOWER LEVELMineola, NY 11501-4073

Mailing AddressGpo Box 27686New York, NY 10087-7686 · (888) 220-1235 · Fax (865) 450-9374

Phone(516) 663-4510

Fax(516) 663-3698

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1386688984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians

Taxonomy Code2085B0100X

License✔ Licensed in NY · 230112

Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 230112 (NY)

120 MINEOLA BLVD, Mineola, NY 11501

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Other Identifiers 1

Medicaid02730436NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Jae Won Lee Md 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.