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Bruce Lee , PA

Physician Assistant • Newark, NY

Active NPI 1689757288 Individual Practitioner Male Practitioner
Practice location in NPPES

1208 Driving Park Ave
Newark, NY 145131057

Call 3153592640 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1208 Driving Park Ave

Newark, NY 145131057

Telephone 3153592640
Fax 3153592645
Organization at the Same NPPES Address or Phone
Rochester General Health System Facility NPI 1760737951

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Newark and New York

16 active clinicians are listed under Physician Assistant with a practice address in Newark, NY (15,558 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

0% of these 16 clinicians have the CMS telehealth indicator.

56.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Adrienne Alvaro , NP

Nurse Practitioner - Primary Care

NPI 1427821354

Nurse Practitioner

Caroline Cooper , NP

Nurse Practitioner - Adult Health

NPI 1790296820

Nurse Practitioner

Dr. Anthony Dasilva , MD

Internal Medicine

NPI 1164433900

Doctor of Medicine (M.D.)

Dr. Kuljinder Deol , MD

Internal Medicine

NPI 1093199762

Doctor of Medicine (M.D.)

Andrea Gefell , PA

Physician Assistant - Medical

NPI 1538224662

Physician Assistant

NPI 1669483467

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 24, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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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

Other Physician Assistants in Newark

Mailing Address

1208 Driving Park Ave

Newark, NY 145131057

Phone: 3153592640

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.