Individual provider Active NPI

Diana Marie Lewitt, D.O.

  • Pediatrics Physician
  • Gibbsboro, NJ
National Provider Identifier
1427215953
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB0820900 Issued in NJ
Practice address
63 Lakeview Dr N
Suite 202
Gibbsboro, NJ 08026-1026
Phone
(856) 435-6000
Fax
(856) 783-1667
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB0820900 NJ Primary

Addresses

Primary practice location

63 Lakeview Dr N
Suite 202
Gibbsboro, NJ 08026-1026

Mailing address

63 Lakeview Dr N
Suite 202
Gibbsboro, NJ 08026-1026
Phone (856) 435-6000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003000013 NJ Practitioner - Pediatric Medicine 4385879055 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB0820900NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince Jun 23, 2022 Accepting new patients
Advocare , LLC CurrentSince Nov 28, 2025 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Senacare, LLC CurrentSince Jun 23, 2022 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Nov 28, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

975 Tuckerton Rd
Marlton, NJ 08053
Phone (856) 983-6675

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

1001 Laurel Oak Rd
Ste B
Voorhees, NJ 08043
Phone (856) 782-7400

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

Organizations & group practices 5

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1427215953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LAKEVIEW DR N",
            "address_2": "SUITE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-435-6000",
            "fax_number": "856-783-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LAKEVIEW DR N",
            "address_2": "SUITE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-435-6000",
            "fax_number": "856-783-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWITT",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB0820900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

Verify at the official NPI Registry.