Active NPI
Michael P Lewko, MD
- Rheumatology Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MA05034900
- Practice address
- 871 Allwood Rd
Clifton, NJ 07012 - Phone
- (973) 405-5163
- Fax
- (973) 365-8004
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA05034900 | NJ | Primary |
Addresses
Primary practice location
871 Allwood Rd
Clifton, NJ 07012
Mailing address
871 Allwood Rd
Clifton, NJ 07012
Phone (973) 495-5163
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10782 | Other | NJ | AMERICAID |
| 1799910 | Other | GHI | |
| 1223801 | Medicaid | NJ | |
| 5272003 | Other | AETNA | |
| 2K1273 | Other | HEALTHNET | |
| 91G241 | Other | WELLCHOICE | |
| 930118775 | Other | RR MEDICARE | |
| 7127953004 | Other | CIGNA | |
| 1150924 | Other | NJ | HORIZON NJ HEALTH |
| 37H702 | Other | EMPIRE HEALTH | |
| P2540466 | Other | OXFORD | |
| PS000015406 | Other | AMERICHOICE | |
| 0438532000 | Other | AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, KY, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05034900 | NJ | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Current | Accepting new patients | |
| St Josephs Medical Group PC | Current | Accepting new patients | |
| King'S Daughters Medical Specialties, Inc. | Rheumatology | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Gastroenterology Associates of New Jersey, LLC | Past | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
617 23rd St
Ste 6
Ashland, KY 41101
Phone (606) 324-4745
871 Allwood Rd
Clifton, NJ 07012
Phone (973) 405-5163
871 Allwood Rd
Ste 1
Clifton, NJ 07012
Phone (973) 405-5163
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
Interoperability endpoints
- mlewko78687@direct.kdhealth.us
- https://fhir4.healow.com/fhir/r4/JJIGAA
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Rheumatology Physician
- Ashland, KY
- NPI 1467982462
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1730121799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 ALLWOOD RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07012",
"telephone_number": "973-495-5163",
"fax_number": "973-365-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 ALLWOOD RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07012",
"telephone_number": "973-405-5163",
"fax_number": "973-365-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWKO",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA05034900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAID",
"identifier": "10782",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1799910",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1223801",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5272003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K1273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCHOICE",
"identifier": "91G241",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "930118775",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7127953004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1150924",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE HEALTH",
"identifier": "37H702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2540466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "PS000015406",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0438532000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.