Active NPI
Joi Michelle Lenczowski, MD
- Dermatology Physician
- Mechanicsville, VA
National Provider Identifier
1316949290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101237988
- Practice address
- 7016 Lee Park Rd
Suite 100
Mechanicsville, VA 23111-3682 - Phone
- (804) 730-2652
- Fax
- (804) 559-3067
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101237988 | VA | Primary |
Addresses
Primary practice location
7016 Lee Park Rd
Suite 100
Mechanicsville, VA 23111-3682
Mailing address
301 Concourse Blvd Ste 190
Glen Allen, VA 23059-5759
Phone (804) 549-4030
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7307269 | Other | AETNA | |
| 0786762 | Other | CIGNA | |
| 537362 | Other | ANTHEM | |
| P01541696 | Other | RAILROAD MEDICARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237988 | VA | MD | Dermatology Physician |
| 22348 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1316949290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CONCOURSE BLVD STE 190",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595759",
"telephone_number": "804-549-4030",
"fax_number": "804-549-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 LEE PARK RD",
"address_2": "SUITE 100",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113682",
"telephone_number": "804-730-2652",
"fax_number": "804-559-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENCZOWSKI",
"first_name": "JOI",
"middle_name": "MICHELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101237988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7307269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0786762",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "537362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01541696",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.