Individual provider Active NPI

Kristen Lewis, APN

  • Family Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1417403056
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00618700 Issued in NJ
Practice address
111 W Water St
Toms River, NJ 08753
Phone
(732) 244-4700
Fax
(732) 244-2804
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00618700 NJ Primary

Addresses

Primary practice location

111 W Water St
Toms River, NJ 08753

Mailing address

1580 Lakewood Rd Ste 16
Toms River, NJ 08755-3287
Phone (732) 456-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20161114001771 NJ Practitioner - Nurse Practitioner 1456630599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians
On Site Dermatology of New Jersey LLCGroup PAC ID 1951616697, 12 clinicians

Practice addresses (Care Compare)

200 Tilton Rd
Suite 5
Northfield, NJ 08225-1270
Phone (212) 283-3000

2150 Route 38
Cherry Hill, NJ 08002-4302
Phone (877) 345-5300

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Feb 15, 2019 Accepting new patients
On Site Dermatology of New Jersey, LLC CurrentSince Jul 29, 2019 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients

Locations

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

200 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 400-3910

368 Lakehurst Rd
Ste 201
Toms River, NJ 08755
Phone (732) 505-1500

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1417403056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 LAKEWOOD RD STE 16",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553287",
            "telephone_number": "732-456-7777",
            "fax_number": "848-251-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00618700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.