Individual provider Active NPI

Bozena Lewicki

  • Primary Care Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1114331873
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00506800 Issued in NJ
Practice address
1122B University Ter
Linden, NJ 07036-5657
Phone
(908) 531-5487
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00506800 NJ Primary

Addresses

Primary practice location

1122B University Ter
Linden, NJ 07036-5657

Mailing address

1122B University Ter
Linden, NJ 07036-5657
Phone (908) 531-5487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141105001568 NJ Practitioner - Nurse Practitioner 2769604800 Reassigns benefits to 1 organization
I20220627001000 NY Practitioner - Nurse Practitioner 2769604800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310733NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 3, 2014 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Jun 6, 2022 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Jun 6, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 3, 2014 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

776 E 3rd Ave
Roselle, NJ 07203
Phone (908) 241-7800

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Interoperability endpoints

  • Direct secure messaging: blewicki60119@epicdirect.rwjbh.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1114331873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122B UNIVERSITY TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365657",
            "telephone_number": "908-531-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122B UNIVERSITY TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365657",
            "telephone_number": "908-531-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWICKI",
        "first_name": "BOZENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00506800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.