Active NPI
Elisheva Lewis, FNP
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1609657238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 352910
- Practice address
- 485 Kings Hwy
Brooklyn, NY 11223-1809 - Phone
- (718) 475-0050
- NPI assigned
- Oct 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 352910 | NY | Primary |
Addresses
Primary practice location
485 Kings Hwy
Brooklyn, NY 11223-1809
Mailing address
485 Kings Hwy
Brooklyn, NY 11223-1809
Other practice location 1
11201 75th Ave
Forest Hills, NY 11375-5633
Phone (718) 268-6808
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
| License | State | Type | Specialty |
|---|---|---|---|
| 352910 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aider Health LLC | Current | Accepting new patients | |
| Waiho Lum MD PLLC | Past | Accepting new patients | |
| Urgent Care Medical, P.C. | Past | Accepting new patients |
Locations
485 Kings Hwy
Brooklyn, NY 11223
Phone (718) 475-0050
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJGAED/Endpoint/EJGAED
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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1003694423
-
- Urgent Care Clinic/Center
- Forest Hills, NY
- NPI 1073996211
-
- Urgent Care Clinic/Center
- Forest Hills, NY
- NPI 1447455589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1609657238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231809",
"telephone_number": "718-475-0050"
}
],
"practiceLocations": [
{
"address_1": "11201 75th Ave",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113755633",
"country_code": "US",
"telephone_number": "718-268-6808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "ELISHEVA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "352910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.