Individual provider Active NPI

Jan B Lewandowski

  • Orthotist
  • Greensburg, PA
National Provider Identifier
1497247829
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO003783 Issued in PA
Practice address
3 Gibralter Way
Greensburg, PA 15601-5613
Phone
(724) 836-6656
NPI assigned
Jun 1, 2018
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO003783 PA Primary

Addresses

Primary practice location

3 Gibralter Way
Greensburg, PA 15601-5613

Mailing address

3 Gibralter Way
Greensburg, PA 15601-5613
Phone (724) 836-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO003783PAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Orthotics & Prosthetics Co Orthotist Past Accepting new patients
Union Orthotics & Prosthetics Co. Past Accepting new patients

Organizations & group practices 2

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1497247829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GIBRALTER WAY",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015613",
            "telephone_number": "724-836-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GIBRALTER WAY",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015613",
            "telephone_number": "724-836-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "JAN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "PA",
            "license": "CO003783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.