Individual provider Active NPI

David Lewis, MD

  • Facial Plastic Surgery Physician
  • Englewood, NJ
National Provider Identifier
1700808938
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
25MA08262900 Issued in NJ
Practice address
216 Engle St Ste 101
Englewood, NJ 07631-2428
Phone
(201) 816-9800
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A95117 CA
Facial Plastic Surgery Physician 207YS0123X 25MA08262900 NJ Primary

Addresses

Primary practice location

216 Engle St Ste 101
Englewood, NJ 07631-2428

Mailing address

216 Engle St Ste 101
Englewood, NJ 07631-2428
Phone (201) 816-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000483 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7719080142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Englewood Ear Nose and Throat PCGroup PAC ID 6002900701, 8 clinicians

Practice addresses (Care Compare)

216 Engle St
Suite 101
Englewood, NJ 07631-2428
Phone (201) 816-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.7 of 100Reported as individual
Quality
55.63
Promoting interoperability
77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A95117CAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Ear Nose & Throat PC CurrentSince Sep 1, 2007 Accepting new patients
Anthony F. Jahn,M.D.,PA PastSince Sep 1, 2007 Accepting new patients

Locations

216 Engle St
Ste 101
Englewood, NJ 07631
Phone (201) 816-9800

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1700808938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ENGLE ST STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312428",
            "telephone_number": "201-816-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ENGLE ST STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312428",
            "telephone_number": "201-816-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A95117",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA08262900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.