Active NPI
Lori L. Lewis, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Woodbury, NJ
National Provider Identifier
1770562191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 25MD00189700
- Practice address
- 426 Mantua Ave
Woodbury, NJ 08096-2617 - Phone
- (856) 848-7700
- Fax
- (856) 848-7531
- NPI assigned
- Jan 13, 2006
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 25MD00189700 | NJ | Primary |
Addresses
Primary practice location
426 Mantua Ave
Woodbury, NJ 08096-2617
Mailing address
426 Mantua Ave
Woodbury, NJ 08096-2617
Phone (856) 848-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8330701 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
426 Mantua Ave
Woodbury, NJ 08096-2617
426 Mantua Pike
Woodbury, NJ 08096-2617
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 243 |
| Removal or shaving of skin growth | 108 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1770562191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 MANTUA AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962617",
"telephone_number": "856-848-7700",
"fax_number": "856-848-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 MANTUA AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962617",
"telephone_number": "856-848-7700",
"fax_number": "856-848-7531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LORI",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NJ",
"license": "25MD00189700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8330701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.