Active NPI
Linda Donelle Lewis, M.D.
- Hospitalist Physician
- New York, NY
National Provider Identifier
1942392592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 104030
- Practice address
- 710 W 168TH Street
New York, NY 10032-2699 - Phone
- (212) 305-5246
- Fax
- (212) 305-1679
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 104030 | NY | |
| Hospitalist Physician | 208M00000X | 104030 | NY | Primary |
Addresses
Primary practice location
710 W 168TH Street
New York, NY 10032-2699
Mailing address
710 W 168TH Street
New York, NY 10032-2699
Phone (212) 305-5246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00180745 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104030 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 1
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1942392592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W 168TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322699",
"telephone_number": "212-305-5246",
"fax_number": "212-305-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 168TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322699",
"telephone_number": "212-305-5246",
"fax_number": "212-305-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LINDA",
"middle_name": "DONELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "104030",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "104030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00180745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.