Active NPIIndividual provider

Dr. Shanda Lewis, MS, D0

Pediatrics in Brick, New Jersey

NPI Number1285262469
Practice location
425 Jack Martin Blvd, Brick, NJ 08724-7732
Fax
—
Last updated
May 23, 2023

Shanda Lewis is a Pediatrics based in Brick, NJ. Shanda Lewis practices in Brick, NJ and has the professional credentials of MS, D0. The NPI Number for Shanda Lewis is 1285262469 and holds a License No. 25mb11808600 (NJ). The current practice location address for Shanda Lewis is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-840-2200.

Provider Profile Details

NPI Number
1285262469
Provider Name
Shanda Lewis
Credential
MS, D0
Provider Entity Type
Individual
Gender
Female
Address
425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone Number
732-840-2200
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2020
Last Update Date
May 23, 2023
Certification Date
May 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
Zip
08724-7732
Phone Number
732-840-2200
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
State
NJ
Zip
08724-7732
Phone Number
732-775-5500

License Information

License Number (1)
25mb11808600
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shanda Lewis, MS, D0?

The NPI number of Dr. Shanda Lewis, MS, D0 is 1285262469. It was assigned on April 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Shanda Lewis, MS, D0?

Dr. Shanda Lewis, MS, D0 is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25mb11808600.

Where does Dr. Shanda Lewis, MS, D0 practice?

The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-840-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285262469 directly on the NPPES registry website.

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