Individual provider Active NPI

Susan E. Lewin, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1295755171
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005630 Issued in NY
Practice address
2146 Beverley Rd
Brooklyn, NY 11226-5406
Phone
(718) 210-3296
Fax
(877) 868-8633
NPI assigned
Jul 20, 2006
Last updated
Nov 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005630 NY Primary

Addresses

Primary practice location

2146 Beverley Rd
Brooklyn, NY 11226-5406

Mailing address

913 N Central Ave
Woodmere, NY 11598-1629
Phone (917) 930-7479

Other identifiers 2

IdentifierTypeStateIssuer
02519726MedicaidNY
02205127MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000674 NY Practitioner - Podiatry 6204734510 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY; Far Rockaway, NY; Jackson Heights, NY; Woodmere, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

520 Beach 19TH St
Far Rockaway, NY 11691-4307
Phone (718) 471-7400

913 N Central Ave
Woodmere, NY 11598-1629

913 N Central Aveue
Woodmere, NY 11598-1629
Phone (718) 445-3445

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue136
Removal of nail tissue1321
Removal or shaving of skin growth300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005630NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jay Bienenfeld DPM PLLC Podiatrist CurrentSince Aug 11, 2020 Accepting new patients
Plum Podiatry PC CurrentSince Jun 11, 2023 Accepting new patients
Five Towns Podiatry PLLC Podiatrist Past Accepting new patients
Susan Lewin DPM Podiatrist Past Accepting new patients
Bronx Westchester Medical Group Past Accepting new patients

Locations

123 Maple Ave
Ste 202A
Cedarhurst, NY 11516
Phone (516) 405-6700

7161 159th St
Fresh Meadows, NY 11365
Phone (718) 303-8323

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

1050 Central Ave
Woodmere, NY 11598
Phone (516) 374-9300

Networks

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

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1295755171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N CENTRAL AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981629",
            "telephone_number": "917-930-7479",
            "fax_number": "516-569-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265406",
            "telephone_number": "718-210-3296",
            "fax_number": "877-868-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02519726",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.