Individual provider Active NPI

Amanda Lewis, NP

  • Family Nurse Practitioner
  • Livingston, NJ
National Provider Identifier
1093585895
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14970300 Issued in NJ
Practice address
5 Regent St Ste 509
Livingston, NJ 07039-1682
Phone
(973) 251-2437
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR20235300 NJ
Nurse Practitioner 363L00000X 26NJ14970300 NJ
Family Nurse Practitioner 363LF0000X 26NJ14970300 NJ Primary

Addresses

Primary practice location

5 Regent St Ste 509
Livingston, NJ 07039-1682

Mailing address

40 Main St
Chatham, NJ 07928-2431
Phone (736) 350-8009

Other practice location 1

40 Main St
Chatham, NJ 07928-2431
Phone (736) 350-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250610003810 NJ Practitioner - Nurse Practitioner 5193235984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Spine Center, LLCGroup PAC ID 5092785030, 11 clinicians

Practice addresses (Care Compare)

40 Main St
Chatham, NJ 07928-2431
Phone (973) 635-0800

70 Sparta Ave
Suite 202
Sparta, NJ 07871-1760
Phone (973) 635-0800

Hospital & facility affiliations

  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR20235300NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Weightloss, LLC CurrentSince Jan 7, 2024 Accepting new patients
New Jersey Spine Center, LLC CurrentSince Mar 7, 2025 Accepting new patients
Livingston 1 Weightloss, LLC PastSince Jan 7, 2024 Accepting new patients

Locations

40 Main St
Chatham, NJ 07928
Phone (973) 635-0800

5 Regent St
Ste 509
Livingston, NJ 07039
Phone (973) 251-2437

Interoperability endpoints

  • Direct secure messaging: alewis@njspinecenter.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1093585895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282431",
            "telephone_number": "736-350-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST STE 509",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391682",
            "telephone_number": "973-251-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Main St",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "NJ",
            "postal_code": "079282431",
            "country_code": "US",
            "telephone_number": "736-350-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20235300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14970300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14970300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.