Organization Active NPI

Karen Lewis, LLC

  • Community/Behavioral Health Agency
  • Teaneck, NJ
National Provider Identifier
1376973032
Registry record updated Nov 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC5502000 Issued in NJ
Legal business name
KAREN LEWIS, LLC
Practice address
416 Cedar LN FL 2
Teaneck, NJ 07666-1709
Phone
(201) 290-5550
Fax
(201) 568-1786
NPI assigned
Nov 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2013

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

Authorized official

Name
Mrs. Karen Lewis, MSWNPI 1518227198
Title
Licensed Clinical Social Worker
Phone
(201) 290-5550

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
Community/Behavioral Health Agency 251S00000X 44SC5502000 NJ Primary

Addresses

Primary practice location

416 Cedar LN FL 2
Teaneck, NJ 07666-1709

Mailing address

416 Cedar LN FL 2
Teaneck, NJ 07666-1709
Phone (201) 290-5550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131205001380 NJ Part B Supplier - Clinic/Group Practice 6608003231 Receives reassigned benefits from 1 practitioner
Practice locations: Tenafly, NJ

National Provider Directory

National Provider Directory
Tax ID family
Karen Lewis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1384646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384646400000",
    "number": "1376973032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CEDAR LN FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661709",
            "telephone_number": "201-290-5550",
            "fax_number": "201-568-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CEDAR LN FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661709",
            "telephone_number": "201-290-5550",
            "fax_number": "201-568-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN LEWIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-17",
        "last_updated": "2013-11-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-290-5550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC5502000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; 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.