Organization Active NPI

Michael P Lewko MD LLC

  • Rheumatology Physician
  • Clifton, NJ
National Provider Identifier
1154333979
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MA 50349 Issued in NJ
Legal business name
MICHAEL P LEWKO MD LLC
Practice address
871 Allwood Rd
Clifton, NJ 07012-1922
Phone
(973) 405-5163
Fax
(973) 365-8004
NPI assigned
Aug 12, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Michael P Lewko, MDNPI 1730121799
Title
Owner
Phone
(973) 405-5163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MA 50349 NJ Primary

Addresses

Primary practice location

871 Allwood Rd
Clifton, NJ 07012-1922

Mailing address

871 Allwood Rd
Clifton, NJ 07012-1922
Phone (973) 405-5163

Other identifiers 2

IdentifierTypeStateIssuer
1223801MedicaidNJ
2233854000OtherAMERIHEALTH

National Provider Directory

National Provider Directory

Locations

871 Allwood Rd
Ste 1
Clifton, NJ 07012
Phone (973) 405-5163

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1154333979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 ALLWOOD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121922",
            "telephone_number": "973-405-5163",
            "fax_number": "973-365-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 ALLWOOD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121922",
            "telephone_number": "973-405-5163",
            "fax_number": "973-365-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P LEWKO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "LEWKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-405-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "MA 50349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2233854000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.