Doctor profile · Federal record
Dr. Soo Lee, PA-C
Physician Assistant · Physician Assistant · Medical Physician Assistant · New York, NY
- NPI 1366779415
- Accepts Medicare
- 17 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
30 Broad St
New York, NY 100042304
(212) 530-0630 - Additional location
-
1830 Watermere Ln
Windermere, FL 347866121
(617) 429-6283 - Additional location
-
960 Backstage Lane
Lake Buena Vista, FL 32830
(407) 934-4100 - Mailing address
-
1 Embarcadero Ctr Ste 1900
San Francisco, CA 941113723
Credentials & registration
- NPI registered
- November 2009 — 17 yrs on file
- Profile last updated
- April 24, 2025
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- New York #023261 · Texas #PA18172 · Florida #PA 9105081
- Medicaid
- FL #0027424-00
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366779415. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$90
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., INC. | 2 | $35.74 | |
| Abbvie INC. | 1 | $31.11 | |
| RedHill Biopharma INC. | 1 | $23.38 |
By nature of payment
Frequently asked questions
What is Dr. Soo Lee's medical specialty?
Dr. Soo Lee practices Physician Assistant in New York, NY.
Where does Dr. Soo Lee practice?
Dr. Soo Lee practices at 30 Broad St, New York, NY 100042304. Office phone: 2125300630.
What is Dr. Soo Lee's NPI?
Dr. Soo Lee's National Provider Identifier (NPI) is 1366779415, issued by NPPES.
Does Dr. Soo Lee accept Medicare assignment?
Yes. Dr. Soo Lee accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.