Individual provider Active NPI

Amy B. Lewis, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1962570093
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
188234 Issued in NY
Practice address
120 E 75TH St
New York, NY 10021-3240
Phone
(212) 288-6133
Fax
(212) 288-6981
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 188234 NY Primary

Addresses

Primary practice location

120 E 75TH St
New York, NY 10021-3240

Mailing address

120 E 75TH St
New York, NY 10021-3240
Phone (212) 288-6133

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000382 NY Practitioner - Dermatology 2860481470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Amy B Lewis MD PCGroup PAC ID 1355400441, 2 clinicians

Practice addresses (Care Compare)

120 E 75TH St
New York, NY 10021-3240
Phone (212) 288-6133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue22
Removal of skin lesions164
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188234NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amy B Lewis MD PC Dermatology CurrentSince Jan 1, 2007 Accepting new patients
University Physicians of Brooklyn, Inc. Dermatology Past Accepting new patients
Amy B Lewis & Associates LLC Dermatology PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1962570093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213240",
            "telephone_number": "212-288-6133",
            "fax_number": "212-288-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213240",
            "telephone_number": "212-288-6133",
            "fax_number": "212-288-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMY",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "188234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.