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

Shane Lee, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1104067651

Shane Lee, MD is an Interventional Radiology in Philadelphia, Pennsylvania. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 2007, 19 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
19
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NJ, PA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140
Phone: (215) 707-7237
Fax: (215) 707-9389
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 2501 Kuser Rd, Hamilton, NJ 08691-3386 — (609) 585-8800
  • 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 — (856) 582-2500
  • 333 Cottman Ave, Philadelphia, PA 19111-2497 — (215) 728-3883

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 25MA09357700 (NJ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD449493 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 203BR0202X (PA)

Record details

NPI number1104067651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2009
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 2007 (19 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Philadelphia