Individual provider Active NPI

Kirt Lewis

  • Psychiatric/Mental Health Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1144925041
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01465900 Issued in NJ
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

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20241029002973 NJ Practitioner - Nurse Practitioner 3476086430 Reassigns benefits to 3 organizations
I20241114000815 PA Practitioner - Nurse Practitioner 3476086430 Reassigns benefits to 2 organizations
I20250619002199 NY Practitioner - Nurse Practitioner 3476086430 Reassigns benefits to 2 organizations
I20251119001468 DE Practitioner - Nurse Practitioner 3476086430 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
Forge Medical Group, LLCGroup PAC ID 5597163949, shared by 3 NPIs, 35 clinicians
TMR Mental Health Care PCGroup PAC ID 7113371154, 2 clinicians

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

LicenseStateTypeSpecialty
26NJ01465900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC CurrentSince Dec 2, 2024 Accepting new patients
TMR Mental Health Care PC CurrentSince Aug 18, 2024 Accepting new patients
Forge Medical Group, LLC CurrentSince Dec 2, 2024 Accepting new patients
Twilight Mental Health Care LLC Psychiatric/Mental Health CurrentSince Oct 2, 2024 Accepting new patients
Forge Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
TMR Mental Health Care PC Current Accepting new patients
Treat Me Right Consulting Services LLC PastSince Mar 1, 2020 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.

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

Verify at the official NPI Registry.