Individual provider Active NPI

Lori L. Lewis, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Woodbury, NJ
National Provider Identifier
1770562191
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00189700 Issued in NJ
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

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8330701MedicaidNJ

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

ProcedureNumber of procedures
Removal of nail tissue243
Removal or shaving of skin growth108

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

Verify at the official NPI Registry.