Individual provider Active NPI

Ahuva Lewis

  • Physician Assistant
  • Flushing, NY
National Provider Identifier
1205637410
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7715 Park Dr E Apt 5a
Flushing, NY 11367-3254
Phone
(347) 418-2303
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

7715 Park Dr E Apt 5a
Flushing, NY 11367-3254

Mailing address

7715 Park Dr E Apt 5a
Flushing, NY 11367-3254
Phone (347) 418-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001105 NY Practitioner - Physician Assistant 1153823570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Interventional and Endovascular Medicine PCGroup PAC ID 5092124206, 10 clinicians

Practice addresses (Care Compare)

210 Beach 47TH St
Far Rockaway, NY 11691-1100
Phone (516) 862-4900

2255 Cropsey Ave
Brooklyn, NY 11214-5705
Phone (516) 862-4900

3602 Mermaid Ave
Brooklyn, NY 11224-1511
Phone (516) 862-4900

3900 Shore Pkwy
Brooklyn, NY 11235-1130
Phone (516) 862-4900

650 E 104TH St
Brooklyn, NY 11236-2504
Phone (516) 862-4900

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1317
Phone (516) 862-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endovascular Associates of Florida Inc PastSince Nov 16, 2021 Accepting new patients
Nova Diagnostic Services LLC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1205637410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 PARK DR E APT 5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673254",
            "telephone_number": "347-418-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 PARK DR E APT 5A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673254",
            "telephone_number": "347-418-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AHUVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.