Mary Ellen Lewis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00032700 Issued in NJ

Practice address

801 Boardwalk
Atlantic City, NJ 08401-7509

Phone

(609) 343-4003

Fax

(609) 343-4006

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407054364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PENNLYN PL",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082264156",
            "telephone_number": "609-814-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BOARDWALK",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017509",
            "telephone_number": "609-343-4003",
            "fax_number": "609-343-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARY ELLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00032700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Thomas Lee, MD
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• Kenny Kah-Keng Leng, DO
• Adam Marc Lerman, MD
• Andrew Alec Levine, D.V.M.
• Rita Lewis
• LHV Pharmacy
• Kristy Liekfet, APN-C
• William Henry Long, LSW
• Edwin Lopez-Bernard, MD

• Physician Assistant in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.