Active NPI
Jeffrey Lewis, M.D.
- Ophthalmology Physician
- Astoria, NY
National Provider Identifier
1487722922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 097262
- Practice address
- 2308 30TH Ave
Fifth Floor
Astoria, NY 11102-3397 - Phone
- (718) 626-1810
- Fax
- (718) 626-1811
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 097262 | NY | Primary |
Addresses
Primary practice location
2308 30TH Ave
Fifth Floor
Astoria, NY 11102-3397
Mailing address
2308 30TH Ave
Fifth Floor
Astoria, NY 11102-3397
Phone (718) 626-1810
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097262-C40 | Other | NY | HEALTHFIRST |
| 00163662 | Medicaid | NY | |
| 097262-A40 | Other | NY | HEALTHFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097262 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1487722922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 30TH AVE",
"address_2": "FIFTH FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023397",
"telephone_number": "718-626-1810",
"fax_number": "718-303-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 30TH AVE",
"address_2": "FIFTH FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111023397",
"telephone_number": "718-626-1810",
"fax_number": "718-626-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "097262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "097262-C40",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00163662",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "097262-A40",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.