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

Kevin Lee, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1730830274

Kevin Lee, NURSEPRACTITIONER is a Nurse Practitioner in Staten Island, New York. Qualified in 2021, 5 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

116 Ardmore Ave
Staten Island, NY 10314-4428
Phone: (347) 925-1194
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F432187 (NY)

Record details

NPI number1730830274
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 17, 2022
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address116 Ardmore Ave, Staten Island, NY 10314-4428

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Staten Island