Individual provider Active NPI

Sara Elizabeth Lewis, ANP/GNP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1396084232
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F340803 Issued in NY
Practice address
161 Fort Washington Ave
Nyp-Cuimc Dept of Orthopedic Surgery - 2ND Floor
New York, NY 10032
Phone
(212) 305-5974
Fax
(212) 305-4024
NPI assigned
Feb 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F340803 NY Primary

Addresses

Primary practice location

161 Fort Washington Ave
Nyp-Cuimc Dept of Orthopedic Surgery - 2ND Floor
New York, NY 10032

Mailing address

622 W 168TH St PH-11-1130
Nyp/Cuimc - Dept. of Orthopedic Surgery
New York, NY 10032-3720
Phone (212) 305-5976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170713001941 NY Practitioner - Nurse Practitioner 6204105885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Johns Hopkins University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bleuler Psychotherapy Center IncGroup PAC ID 3274425988, 23 clinicians

Practice addresses (Care Compare)

10470 Queens Blvd
Suite 200
Forest Hills, NY 11375-3694
Phone (718) 275-6010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340803NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2018 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Practitioner CurrentSince Jan 1, 2018 Accepting new patients
Bleuler Psychotherapy Center, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients
The Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Fl 11
Brooklyn, NY 11201

10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (866) 404-6913

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

9114 37th Ave
Jackson Heights, NY 11372
Phone (718) 722-6001

3764 72nd St
Jackson Hts, NY 11372
Phone (718) 335-3434

51 W 51st St
Ste 370
New York, NY 10019
Phone (631) 254-5577

161 Fort Washington Ave
Fl 2
New York, NY 10032
Phone (212) 305-4308

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
Ph 111130
New York, NY 10032
Phone (212) 305-0762

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1396084232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST PH-11-1130",
            "address_2": "NYP/CUIMC - DEPT. OF ORTHOPEDIC SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-5976",
            "fax_number": "212-305-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE",
            "address_2": "NYP-CUIMC DEPT OF ORTHOPEDIC SURGERY - 2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-5974",
            "fax_number": "212-305-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "ANP/GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F340803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.