Active NPI
Kirt Lewis
- Psychiatric/Mental Health Nurse Practitioner
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01465900
- Practice address
- 4 Forest Ave Ste 201
Paramus, NJ 07652-5246 - Phone
- (201) 580-9726
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01465900 | NJ | Primary |
Addresses
Primary practice location
4 Forest Ave Ste 201
Paramus, NJ 07652-5246
Mailing address
4 Forest Ave Ste 201
Paramus, NJ 07652-5246
Phone (201) 580-9726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, NY, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
- Forge Medical Group, LLC
Practice addresses (Care Compare)
1133 Westchester Ave
Suite N 006
White Plains, NY 10604-3550
Phone (914) 539-7600
1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (862) 658-6700
6603 Fresh Pond Rd
FL 1
Ridgewood, NY 11385-3310
Phone (201) 678-1802
861 Main St
Suite 1
Hackensack, NJ 07601-4907
Phone (201) 678-1802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01465900 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forge Medical Group, LLC | Current | Accepting new patients | |
| TMR Mental Health Care PC | Current | Accepting new patients | |
| Forge Medical Group, LLC | Current | Accepting new patients | |
| Twilight Mental Health Care LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Forge Medical Group, LLC | Current | Accepting new patients | |
| TMR Mental Health Care PC | Current | Accepting new patients | |
| Treat Me Right Consulting Services LLC | Past | Accepting new patients |
Locations
861 Main St
#1
Hackensack, NJ 07601
Phone (201) 528-5757
861 Main St
Hackensack, NJ 07601
Phone (201) 212-5733
1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700
1350 Avenue of the Americas
Fl 21150
New York, NY 10019
Phone (484) 257-7500
9520 63rd Rd
Ste K
Rego Park, NY 11374
Phone (718) 814-7600
6603 Fresh Pond Rd
Fl 1
Ridgewood, NY 11385
Phone (201) 678-1802
1133 Westchester Ave
Ste N-006
White Plains, NY 10604
Phone (914) 539-7600
10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312
502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243
Organizations & group practices 7
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1851112411
DE, NJ, PA
-
- Clinical Social Worker
- Hackensack, NJ
- NPI 1659208643
-
dba TMR Talk Therapy & Consulting Services
- Clinical Social Worker
- Hackensack, NJ
- NPI 1275185571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1144925041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FOREST AVE STE 201",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525246",
"telephone_number": "201-580-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FOREST AVE STE 201",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525246",
"telephone_number": "201-580-9726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KIRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ01465900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.