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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002281 | NY | MD | Acupuncturist |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Multi-Specialty | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.