Individual provider Active NPI

Elisheva Lewis, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1609657238
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352910 Issued in NY
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

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
352910NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aider Health LLC CurrentSince Nov 12, 2023 Accepting new patients
Waiho Lum MD PLLC PastSince Jul 1, 2007 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.