Individual provider Active NPI

Yosef Lewis, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1477938322
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018855 Issued in NY
Practice address
1625 President St
#2D
Brooklyn, NY 11213-4956
Phone
(718) 839-3343
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018855 NY Primary

Addresses

Primary practice location

1625 President St
#2D
Brooklyn, NY 11213-4956

Mailing address

1625 President St
#2D
Brooklyn, NY 11213-4956
Phone (718) 839-3343

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
I20151113000345 NY Practitioner - Physician Assistant 1355651852 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2016 Accepting new patients
Nes Medical Services of New York PC CurrentSince Sep 3, 2015 Accepting new patients
New York University CurrentSince Aug 1, 2016 Accepting new patients
Nes Medical Services of New York PC CurrentSince Sep 3, 2015 Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

455 E Bay Dr
Long Beach, NY 11561
Phone (516) 432-8000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ylewis128167@nyumc.direct-ci.com
  • Direct secure messaging: yosef.lewis@oda.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1477938322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 PRESIDENT ST",
            "address_2": "#2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134956",
            "telephone_number": "718-839-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 PRESIDENT ST",
            "address_2": "#2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134956",
            "telephone_number": "718-839-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "YOSEF",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.