Provider Demographics
NPI:1790935252
Name:JAMES M. LEE JR MD PA
Entity Type:Organization
Organization Name:JAMES M. LEE JR MD PA
Other - Org Name:ORANGE ORTHOPAEDIC ASSOCIATEES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-672-2214
Mailing Address - Street 1:81 NORTHFIELD AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5344
Mailing Address - Country:US
Mailing Address - Phone:973-672-2214
Mailing Address - Fax:973-672-1320
Practice Address - Street 1:81 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5342
Practice Address - Country:US
Practice Address - Phone:973-672-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07860900207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6139160001Medicare NSC