Lillian K Lewars, CNM

Individual provider Active NPI Midwife · Ridge, NY

NPI 1255860797 · NPPES record last updated May 2, 2024

Key facts

NPI
1255860797
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
License
002281 (NY)
Practice address
1 Research Rd
Ridge, NY 11961-2701
Phone
(631) 751-3000
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York at Stony Brook, School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PC (474 clinicians)

Practice addresses (Care Compare)

375 E Main St
Suite 21
Bay Shore, NY 11706-8418
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240723002617 NY Practitioner - Certified Nurse Midwife (CNM) 2466998760 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
002281NYMDAcupuncturist

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC Multi-Specialty Current
since Jun 1, 2024
Accepting new patients

Locations

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1 Research Rd
Ridge, NY 11961

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife
Group: 193200000X MULTI-SPECIALTY GROUP
176B00000X 002281 NY Yes

Addresses

Primary practice location

1 Research Rd
Ridge, NY 11961-2701

Mailing address

23 Radcliff Dr
Brentwood, NY 11717-7606
Phone (347) 455-6574

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2024.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1255860797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RADCLIFF DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177606",
            "telephone_number": "347-455-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESEARCH RD",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612701",
            "telephone_number": "631-751-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWARS",
        "first_name": "LILLIAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "NY",
            "license": "002281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridge, NY

All providers in Ridge, NY · Midwife in New York

Sources for this page

Verify at the official NPI Registry.