Active NPI
Jacqueline Lewis, CNM
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1962483388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 430433
- Practice address
- 10 Union SQ E
Bimc Dept of OB GYN
New York, NY 10003-3314 - Phone
- (212) 844-8592
- NPI assigned
- Nov 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 430433 | NY | Primary |
Addresses
Primary practice location
10 Union SQ E
Bimc Dept of OB GYN
New York, NY 10003-3314
Mailing address
PO Box 95000-2428
Philadelphia, PA 19195-2428
Phone (212) 844-8592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01596794 | Medicaid | NY |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Obstetrics & Gynecology | Current | Accepting new patients |
| Bimc OB-GYN Associates | Obstetrics & Gynecology | Past | Accepting new patients |
| Bimc Faculty Practice | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
10 Union Sq E
Ste 2B
New York, NY 10003
Phone (212) 420-2577
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1467865063
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1366645780
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1366407595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1962483388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2428",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952428",
"telephone_number": "212-844-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"address_2": "BIMC DEPT OF OB GYN",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-844-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JACQUELINE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-11",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "430433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01596794",
"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 Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.