Active NPI
Lewis Lee Bateman, MD
- Family Medicine Physician
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 124006
- Practice address
- 125 Oakland Ave Suite 205
Mather Primary Care
Port Jefferson, NY 11777 - Phone
- (631) 686-2523
- Fax
- (631) 686-2525
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 124006 | NY | Primary |
Addresses
Primary practice location
125 Oakland Ave Suite 205
Mather Primary Care
Port Jefferson, NY 11777
Mailing address
125 Oakland Ave Suite 205
Mather Primary Care
Port Jefferson, NY 11777
Phone (631) 686-2523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00349642 | Medicaid | NY |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124006 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor View Medical Services PC | Current | Accepting new patients | |
| Harbor View Medical Services PC | Current | Accepting new patients | |
| Harbor View Medical Services PC | Current | Accepting new patients |
Locations
125 Oakland Ave
Ste 205
Port Jefferson, NY 11777
Phone (631) 686-2523
625 Belle Terre Rd
Ste 100
Prt Jefferson, NY 11777
Phone (631) 686-7603
70 N Country Rd
Ste 101
Prt Jefferson, NY 11777
Phone (631) 473-0037
Interoperability endpoints
- lewis.bateman.1@7759.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Port Jefferson, NY
- NPI 1861636219
-
- Internal Medicine Physician
- Port Jefferson, NY
- NPI 1306631742
-
- Internal Medicine Physician
- Port Jefferson, NY
- NPI 1831487198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1396749669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 OAKLAND AVE SUITE 205",
"address_2": "MATHER PRIMARY CARE",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "11777",
"telephone_number": "631-686-2523",
"fax_number": "631-686-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 OAKLAND AVE SUITE 205",
"address_2": "MATHER PRIMARY CARE",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "11777",
"telephone_number": "631-686-2523",
"fax_number": "631-686-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "LEWIS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "124006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00349642",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.