BONG S LEE , M.D. PC
NPI 1629265327
Specialist in Philadelphia, PA

Active since September 27, 2007
1810 RITTENHOUSE SQ, THE SAVOY # B2, PHILADELPHIA, PA 19103(215) 545-0804 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About BONG S LEE , M.D. PC

This page provides the complete NPI Profile along with additional information for Bong S Lee , M.d. Pc, a provider established in Philadelphia, Pennsylvania operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1629265327 assigned on September 2007. The practitioner's primary taxonomy code is 174400000X with license number MD032195L (PA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bong S Lee M.d (Physician)

NPI
1629265327 Verify this NPI
Provider Name
BONG S LEE , M.D. PC
Entity Type
Organization
Location Address
1810 RITTENHOUSE SQ THE SAVOY # B2 PHILADELPHIA, PA 19103
Location Phone
(215) 545-0804
Mailing Address
1810 RITTENHOUSE SQ THE SAVOY # B2 PHILADELPHIA, PA 19103
Mailing Phone
(215) 545-0804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2007
Last Update Date
12-18-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD032195L
License State
PA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BONG S LEE M.D

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(215) 545-0804

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
117305MEDICARE PIN (08)PA 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1810 RITTENHOUSE SQ, SUITE 1801
PHILADELPHIA, PA 19103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629265327, enumerated as an "organization" on September 27, 2007.

The provider is located at 1810 RITTENHOUSE SQ THE SAVOY # B2 PHILADELPHIA, PA 19103 and the phone number is (215) 545-0804.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.