Individual provider Active NPI

Lewis West Marshall Jr., M.D.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1841297223
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
162486 Issued in NY
Practice address
8931 161St St
Jamaica, NY 11432-6102
Phone
(718) 291-6161
Fax
(718) 526-6169
NPI assigned
Jun 30, 2005
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 162486 NY
Emergency Medicine Physician 207P00000X 25MA06750300 NJ
Internal Medicine Physician 207R00000X 162486 NY Primary

Addresses

Primary practice location

8931 161St St
Jamaica, NY 11432-6102

Mailing address

8931 161St St
Jamaica, NY 11432-6102
Phone (718) 291-6161

Other identifiers 1

IdentifierTypeStateIssuer
01049210MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040927001096 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 0042289050 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Howard University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

8931 161St St
Jamaica, NY 11432-6140
Phone (718) 291-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162486NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Lewis W. Marshall Jr. MD PC Internal Medicine CurrentSince Jan 12, 2011 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 9, 2010 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Dec 6, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 9, 2010 Accepting new patients
Brookdale Family Care Center, Inc. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Wyckoff Emergency Medicine Services, P.C. Emergency Medicine PastSince Jun 1, 1999 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients
Teaneck Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

8931 161st St
Jamaica, NY 11432
Phone (718) 291-6161

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rutland Nursing Home IncBrooklyn, NY, CCN 335537 Skilled nursing facility Corporate Director
Trustee of the SNF
Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1841297223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 161ST ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326102",
            "telephone_number": "718-291-6161",
            "fax_number": "718-526-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 161ST ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326102",
            "telephone_number": "718-291-6161",
            "fax_number": "718-526-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LEWIS",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "162486",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06750300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01049210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.