Individual provider Active NPI

Gwendolyn Lewis

  • Administrator Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1902711096
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
302922-1 Issued in NY
Practice address
528 Prospect PL
Brooklyn, NY 11238-4205
Phone
(347) 585-6493
Fax
(718) 504-3881
NPI assigned
Aug 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 302922-1 NY Primary

Addresses

Primary practice location

528 Prospect PL
Brooklyn, NY 11238-4205

Mailing address

528 Prospect PL
Brooklyn, NY 11238-4205
Phone (347) 585-6493

Other practice location 1

1110 Eastern Pkwy
Brooklyn, NY 11213-4881
Phone (347) 585-6493

Other practice location 2

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (347) 585-6493

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

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1902711096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384205",
            "telephone_number": "347-585-6493",
            "fax_number": "718-504-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 PROSPECT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384205",
            "telephone_number": "347-585-6493",
            "fax_number": "718-504-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112134881",
            "country_code": "US",
            "telephone_number": "347-585-6493",
            "fax_number": "718-504-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123139",
            "country_code": "US",
            "telephone_number": "347-585-6493",
            "fax_number": "718-504-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "302922-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.