Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689757288 Individual Practitioner Male Practitioner

Bruce Lee , PA

Physician Assistant • Newark, NY

Professional Overview & Biography Verified Profile Summary

Bruce Lee, PA is a registered healthcare professional specializing in Physician Assistant in Newark, NY. Practice services are available at 1208 DRIVING PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1208 Driving Park Ave

Newark, NY 145131057

Telephone 3153592640
Fax 3153592645
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Newark, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Newark, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 004516

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Sivasubramaniam Aumbhagavan

Internal Medicine - Geriatric Medicine

NPI 1053331363
Dr. Kuljinder Deol , MD

Internal Medicine

NPI 1093199762

Doctor of Medicine (M.D.)

Karen Roth , ANP-BC, ACHPN

Nurse Practitioner - Adult Health

NPI 1093714784

ANPBC, ACHPN

Dr. Anthony Dasilva , MD

Internal Medicine

NPI 1164433900

Doctor of Medicine (M.D.)

Beverly Provo , GNPC

Nurse Practitioner - Family

NPI 1215096482
Kathleen Collins , GNP

Nurse Practitioner - Gerontology

NPI 1295068427

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1208 DRIVING PARK AVE, NEWARK, NY 145131057 (Tel: 3153592640)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1208 DRIVING PARK AVE, NEWARK, NY 145131057 (Tel: 3153592640)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE LEE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #004516 in NY)

🟢
Initial NPI Registration & Enumeration October 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689757288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1208 Driving Park Ave

Newark, NY 145131057

Phone: 3153592640

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.