Individual provider Active NPI

Dalu Queen Lewis, MSN, FNP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1043749955
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340907 Issued in NY
Practice address
1985 Marcus Ave # 100
New Hyde Park, NY 11042-2008
Phone
(855) 201-4988
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340907 NY Primary

Addresses

Primary practice location

1985 Marcus Ave # 100
New Hyde Park, NY 11042-2008

Mailing address

18 Elizabeth Ave
Staten Island, NY 10310-1510
Phone (646) 309-9753

Other practice location 1

88 Old Town Rd
Staten Island, NY 10304-4212
Phone (718) 979-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206001549 NY Practitioner - Nurse Practitioner 3173898194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340907NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Aug 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Aug 1, 2024 Accepting new patients
Memorial Neurology Group CurrentSince Oct 9, 2018 Accepting new patients
Savvy-Nurseconsultant CurrentSince Jun 5, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2020 Accepting new patients

Locations

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-4508

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dalewis@landmarkhealth-direct.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1043749955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ELIZABETH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101510",
            "telephone_number": "646-309-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MARCUS AVE # 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422008",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Old Town Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103044212",
            "country_code": "US",
            "telephone_number": "718-979-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DALU",
        "middle_name": "QUEEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.