Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Lee, MD

Individual provider Dermatology Physician · NPI 1538653217

Jack Lee, MD is a Dermatology in Newtown, Pennsylvania. Graduated from University of Virginia School of Medicine in 2018, 8 years ago. Practices with Alliance Dermatology Physicians PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
8
Trained at
University of Virginia School of Medicine
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11 Friends Ln Ste 115
Newtown, PA 18940-1885
Phone: (609) 799-1600
Fax: (267) 358-5166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29 Emmons Dr Ste F20, Princeton, NJ 08540-5978 — (609) 799-1600

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence MD482446 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA11878200 (NJ)
Dermatology Physician Taxonomy 207N00000X · Licence MD482446 (PA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 25MA11878200 (NJ)

Record details

NPI number1538653217
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESFebruary 10, 2024
Certification dateFebruary 10, 2024
Mailing address11 Friends Ln Ste 115, Newtown, PA 18940-1885

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Alliance Dermatology Physicians Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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