Individual provider Active NPI

Neil Lewis

  • Rehabilitation Chiropractor
  • East Stroudsburg, PA
National Provider Identifier
1265701536
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
010504 Issued in PA
Practice address
747 Milford Rd
East Stroudsburg, PA 18301-1307
Phone
(570) 476-5577
NPI assigned
Dec 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 010504 PA
Rehabilitation Chiropractor 111NR0400X 010504 PA Primary

Addresses

Primary practice location

747 Milford Rd
East Stroudsburg, PA 18301-1307

Mailing address

RR 6 Box 6679
East Stroudsburg, PA 18302-9311
Phone (401) 481-3051

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
010504PAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mbe1 CurrentSince Apr 10, 2012 Accepting new patients
Ramsour Family Chiropractic, PC. PastSince Nov 4, 2005 Accepting new patients

Locations

102 Skinner Hill Rd
Stroudsburg, PA 18360
Phone (484) 821-1357

Organizations & group practices 2

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1265701536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 6679",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183029311",
            "telephone_number": "401-481-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011307",
            "telephone_number": "570-476-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "010504",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "010504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.