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

Soo Lee, PA-C

Individual provider Physician Assistant · NPI 1366779415

Soo Lee, PA-C is a Physician Assistant in New York, New York. Qualified in 2009, 17 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, New York and Texas.

Years since qualifying
17
Licensed in
FL, NY, TX
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

30 Broad St
New York, NY 10004-2304
Phone: (212) 530-0630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 960 Backstage Lane, Lake Buena Vista, FL 32830 — (407) 934-4100
  • 1830 Watermere Ln, Windermere, FL 34786-6121 — (617) 429-6283

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023261 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA18172 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 9105081 (FL)

Record details

NPI number1366779415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 11, 2009
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients24
Services billed 47 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $25 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Carolina Medicorp Enterprises LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 185 clinicians in the practice; 12 are shown here.

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