Active NPI
Margaret Ellen Lewis, NP-C
- Gerontology Nurse Practitioner
- New York, NY
National Provider Identifier
1346595873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NN09294000
- Practice address
- 1 Penn PLZ
Suite 725, 7TH Floor
New York, NY 10119-0002 - Phone
- (800) 842-2478
- Fax
- (212) 216-8686
- NPI assigned
- Jul 20, 2012
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NN09294000 | NJ | Primary |
Addresses
Primary practice location
1 Penn PLZ
Suite 725, 7TH Floor
New York, NY 10119-0002
Mailing address
41 Beech Ave
Fanwood, NJ 07023-1707
Phone (800) 842-2478
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Services Company | Gerontology | Past | Accepting new patients |
Organizations & group practices 1
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": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1346595873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BEECH AVE",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231707",
"telephone_number": "800-842-2478",
"fax_number": "212-216-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLZ",
"address_2": "SUITE 725, 7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101190002",
"telephone_number": "800-842-2478",
"fax_number": "212-216-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARGARET",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NN09294000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.