Active NPI
Lewis Wolstein DPM PC
- Durable Medical Equipment & Medical Supplies
- Bronx, NY
National Provider Identifier
1306020102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LEWIS WOLSTEIN DPM PC
- Practice address
- 100 1 De Kruif PL
Front 1
Bronx, NY 10475-2402 - Phone
- (718) 671-7226
- Fax
- (718) 671-7708
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lewis Wolstein, DPM PC
- Title
- President
- Phone
- (718) 671-7226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
100 1 De Kruif PL
Front 1
Bronx, NY 10475-2402
Mailing address
100-1 Dekruif PL
Suite 1
Bronx, NY 10475-2402
Phone (718) 671-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00414420 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 De Kruif Pl
Frnt 1
Bronx, NY 10475
Phone (718) 671-7226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Bronx, NY
- NPI 1811999899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1306020102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100-1 DEKRUIF PL",
"address_2": "SUITE 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104752402",
"telephone_number": "718-671-7226",
"fax_number": "718-671-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 1 DE KRUIF PL",
"address_2": "FRONT 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104752402",
"telephone_number": "718-671-7226",
"fax_number": "718-671-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS WOLSTEIN DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "WOLSTEIN",
"authorized_official_first_name": "LEWIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-671-7226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM PC"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00414420",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.