Organization Active NPI

Dr Lori L Lewis, PC

  • Foot & Ankle Surgery Podiatrist
  • Woodbury, NJ
National Provider Identifier
1366648552
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00189700 Issued in NJ
Legal business name
DR LORI L LEWIS, PC
Practice address
426 Mantua Pike
Woodbury, NJ 08096-2617
Phone
(856) 848-7700
Fax
(856) 848-7531
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Lori L. Lewis, D.P.M.
Title
Owner
Phone
(856) 848-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 25MD00189700 NJ Primary

Addresses

Primary practice location

426 Mantua Pike
Woodbury, NJ 08096-2617

Mailing address

426 Mantua Pike
Woodbury, NJ 08096-2617
Phone (856) 848-7700

National Provider Directory

National Provider Directory

Locations

426 Mantua Pike
Woodbury, NJ 08096
Phone (609) 848-7700

426 Mantua Pike
#L
Woodbury, NJ 08096
Phone (856) 848-7700

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1366648552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962617",
            "telephone_number": "856-848-7700",
            "fax_number": "856-848-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MANTUA PIKE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962617",
            "telephone_number": "856-848-7700",
            "fax_number": "856-848-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LORI L LEWIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-848-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00189700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.