HAE LEE
NPI 1538512850
General Practice in New York, NY

Active since July 21, 2016PECOS Enrolled
577 GRAND STREET, F804, NEW YORK, NY 10002(917) 428-0094 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2021, Sep 26, 2019 (2 updates tracked since 2019).

About Hae Lee NPPES

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

HAE LEE (NPI 1538512850) is an individual general practice provider in New York, New York, licensed in Utah (12286308-1204) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538512850
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameHAE LEE
Location Address577 GRAND STREET, F804New York, NY 10002-6612
Mailing Address577 Grand Street, F804New York, NY 10002-6612 · (917) 428-0094
Sole ProprietorYes
Enumeration DateJuly 21, 2016
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
NPI 1538512850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in UT · 12286308-1204
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 299297 (NY)
577 GRAND STREET, New York, NY 10002

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hae Lee 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.

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 Hae Lee's NPI number?

The NPI number for Hae Lee is 1538512850. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Hae Lee located?

Hae Lee practices at 577 Grand Street F804, New York, NY 10002. The listed phone number is (917) 428-0094.

What is Hae Lee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Hae Lee enrolled in Medicare?

Yes. Hae Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hae Lee was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.