Colleen Lewis, M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

883345 Issued in NY

Practice address

91 Malone Ave
Staten Island, NY 10306-4109

Phone

(718) 570-2097

NPI assigned

Oct 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Colleen D'Amelio Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1891122925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MALONE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064109",
            "telephone_number": "718-570-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MALONE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064109",
            "telephone_number": "718-570-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "COLLEEN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "883345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "D'AMELIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Toby Devorah Levy
• Ekaterina Levytskaya
• Jessica Lewand
• Taylor Ann Lewensohn
• Amanda Nicole Lewis, M.S. SLP TSSLD
• Estelle Lewis, LCSW-R
• Glenda Lewis, RN
• Jasmine Lewis
• Kecia Leann Lewis, LCSW
• Kimberley Ann Lewis, LCSW-R

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.