Individual provider Active NPI

Paul Edward Lewis, LAC

  • Acupuncturist
  • Vineland, NJ
National Provider Identifier
1235358458
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00050900 Issued in NJ
Practice address
1881 S Delsea Dr
Vineland, NJ 08360-6398
Phone
(856) 285-4788
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00050900 NJ Primary

Addresses

Primary practice location

1881 S Delsea Dr
Vineland, NJ 08360-6398

Mailing address

7711 Magnolia Dr
Millville, NJ 08332-5627
Phone (856) 285-4788

Other practice location 1

804 S Route 9 Ste 2
Cape May Court House, NJ 08210-2358
Phone (856) 285-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ00050900NJMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Soaring Dragon Acupuncture Acupuncturist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235358458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 MAGNOLIA DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083325627",
            "telephone_number": "856-285-4788",
            "fax_number": "856-210-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606398",
            "telephone_number": "856-285-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 S Route 9 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cape May Court House",
            "state": "NJ",
            "postal_code": "082102358",
            "country_code": "US",
            "telephone_number": "856-285-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00050900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.