Organization Active NPI

Rachel E. Lewis M.D.

  • Dermatology Physician
  • Watertown, NY
National Provider Identifier
1376740043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
191378 Issued in NY
Legal business name
RACHEL E. LEWIS M.D.
Practice address
26495 State Route 3
Watertown, NY 13601-1749
Phone
(315) 783-4977
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rachel E Lewis, M.D.
Title
Dr.
Phone
(315) 782-2783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 191378 NY Primary

Addresses

Primary practice location

26495 State Route 3
Watertown, NY 13601-1749

Mailing address

17871 County Route 156
Watertown, NY 13601-5739
Phone (315) 782-2783

Other identifiers 2

IdentifierTypeStateIssuer
191378OtherNYNY LISCENSE
01445234MedicaidNY

National Provider Directory

National Provider Directory

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376740043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17871 COUNTY ROUTE 156",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015739",
            "telephone_number": "315-782-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26495 STATE ROUTE 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011749",
            "telephone_number": "315-783-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL E. LEWIS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "315-782-2783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "191378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LISCENSE",
            "identifier": "191378",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01445234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.