Look up the most recent NPI and PECOS records

Jane Park Lee

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

600 Kingston Ave Rm H107, Brooklyn, NY 11203-1704

PECOS Enrollment

This provider is enrolled in PECOS as JANE LEE.

Based on the most recent information from CMS, provider Jane Park Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1447891486
Provider Type
Individual
Full Name
Lee, Jane Park
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/1/2019
Last Updated
11/25/2025

Contact Information

Practice Location

600 Kingston Ave Rm H107, Brooklyn, NY 11203-1704

(347) 425-1317

(718) 221-1560

Mailing Location

600 Kingston Ave, 1st Floor, Room H107, Brooklyn, NY 11203-1704

(347) 425-1317

(718) 221-1560

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F345121 New York

Jane Park Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Desrosiers, Henri J.

Thomas, Oneika

Michel, Esaie

Charles, Natacha Marcellus

Sooppersaud-Bacchus, Vanishree

Avery, Dionne

Michel, Wilmina

Emilien, Mona Beauchamp

Lokoyi, Abiola

Gelling, Maureen Catherine