Organization Active NPI

Amy B Lewis MD PC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1124278452
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
AMY B LEWIS MD PC
Practice address
120 E 75TH St
New York, NY 10021-3240
Phone
(212) 288-6133
Fax
(212) 288-6981
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Dr. Amy B Lewis, MDNPI 1962570093
Title
Dermatologist
Phone
(212) 288-6133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

120 E 75TH St
New York, NY 10021-3240

Mailing address

120 E 75TH St
New York, NY 10021-3240
Phone (212) 288-6133

Other practice location 1

69 Beach Ave
Milford, CT 06460-8047
Phone (212) 288-6133

Other names 1

  • Lewis Dermatology & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000491 NY Part B Supplier - Clinic/Group Practice 1355400441 Receives reassigned benefits from 5 practitioners
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2207749Amy B Lewis MD PC120 E 75TH Street Suite 1a, New York, NY 10021Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1124278452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213240",
            "telephone_number": "212-288-6133",
            "fax_number": "212-288-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213240",
            "telephone_number": "212-288-6133",
            "fax_number": "212-288-6981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Beach Ave",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064608047",
            "country_code": "US",
            "telephone_number": "212-288-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMY B LEWIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "212-288-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Dermatology & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.