Organization Active NPI

Lewis Wolstein DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
National Provider Identifier
1306020102
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Lewis Wolstein, DPM PCNPI 1811999899
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00414420MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000350 NY Part B Supplier - Clinic/Group Practice 1355462482 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.