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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538664933

Jonathan Lee, MD is a Vascular Surgery in Springfield, New Jersey. Qualified in 2018, 8 years ago. Practices with Ccg Medical Group LLC, a 23-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
8
Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

673 Morris Ave Ste 201
Springfield, NJ 07081-1512
Phone: (212) 241-2087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 25MA11827900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1538664933
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2018
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address673 Morris Ave Ste 201, Springfield, NJ 07081-1512

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ccg Medical Group Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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