Active NPI
Wan Ho Lew, DDS
- Dentist
- New York, NY
National Provider Identifier
1972156727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 061994
- Practice address
- 510 E 80TH St
Ofc 2
New York, NY 10075 - Phone
- (646) 536-5088
- Fax
- (646) 536-5077
- NPI assigned
- Jul 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4739 | ME | |
| Dentist | 122300000X | 061994 | NY | Primary |
Addresses
Primary practice location
510 E 80TH St
Ofc 2
New York, NY 10075
Mailing address
510 E 80TH St
Ofc 2
New York, NY 10075
Phone (929) 285-0082
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4739 | ME | MD | Dentist |
| 061994 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wanho Lew DDS PLLC | Current | Accepting new patients |
Locations
510 E 80th St
Ofc 2
New York, NY 10075
Phone (646) 536-5088
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.
-
- Dental Clinic/Center
- New York, NY
- NPI 1215623277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1972156727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E 80TH ST",
"address_2": "OFC 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "929-285-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E 80TH ST",
"address_2": "OFC 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "646-536-5088",
"fax_number": "646-536-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEW",
"first_name": "WAN HO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-22",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4739",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "061994",
"primary": true
}
],
"identifiers": [],
"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 Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.