NELLIE LEE (MD) – Cardiovascular Disease Physician, NPI 1104034107

NELLIE LEE (MD) is a healthcare provider. based in Ridgefield park, New Jersey. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 25MA02733100 (NJ). The NPI Number for NELLIE LEE (MD) is 1104034107

Main info

Female
60 Years Of Experience
Accepts Medicare Assignment
Name
NELLIE LEE (MD)
NPI
1104034107
Phone
(201) 440-3366
Address
190 EUCLID AVE
Enumeration Date
21 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018644477
Graduation Year
1966 (60 years ago)
PAC ID
2567480338
Group Practice PAC ID
4284647868
Professional Enrollment ID
I20051110000101
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for NELLIE LEE (MD)

  • 190, Euclid Avenue, West View, Ridgefield Park, Bergen County, New Jersey, 07660, United States

    RIDGEFIELD PARK, NJ 076601742

    Phone: (201) 440-3366

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,022.

Total Amount is formed as General ($1,022) + Research ($0) + Ownership ($0) = $1,022.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Medtronic, Inc. ($416).

Total Amount

$1,022

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,022

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051110000101ICardiovascular Disease (Cardiology)NJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only112100$0
99214Established patient office or other outpatient visit, 30-39 minutes4743$0
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
View full utilization report →

Insurance plans in this area (ZIP 07660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284647868View full group profile

Reviews

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Frequently asked questions

Is there an official ID for NELLIE LEE (MD) in U.S. healthcare records?
The official identifier for NELLIE LEE (MD) is NPI 1104034107.
Is there an active status for NELLIE LEE (MD)?
For scheduling context, NELLIE LEE (MD) is shown as active in the registry.
What area of care is associated with NELLIE LEE (MD)?
NELLIE LEE (MD)'s record emphasizes Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Is NELLIE LEE (MD) associated with Ridgefield Park?
Public fields place NELLIE LEE (MD) around Ridgefield Park, New Jersey. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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