Active NPI
Sharol A. Lewis, MD
- Obstetrics & Gynecology Physician
- Newark, NJ
National Provider Identifier
1861602930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA05432600
- Practice address
- 3 Penn PLZ E
Newark, NJ 07105-2200 - Phone
- (973) 466-6313
- NPI assigned
- May 23, 2007
- Reactivated
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 174405-1 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 25MA05432600 | NJ | Primary |
Addresses
Primary practice location
3 Penn PLZ E
Newark, NJ 07105-2200
Mailing address
PO Box 539
Lebanon, NJ 08833-0539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05432600 | NJ | MD | Obstetrics & Gynecology Physician |
| 174405-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snyder Randhawa, LLC | Past | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- New Brunswick, NJ
- NPI 1265504849
-
dba Primary Care Center @ Hillsborough
- Family Medicine Physician
- Hillsborough, NJ
- NPI 1235225772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1861602930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 539",
"city": "LEBANON",
"state": "NJ",
"postal_code": "088330539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PENN PLZ E",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071052200",
"telephone_number": "973-466-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SHAROL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2011-07-18",
"deactivation_date": "2010-07-02",
"reactivation_date": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "174405-1",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA05432600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.