Active NPIIndividual provider

Mary Ellen Lewis, PA-C

Physician Assistant in Atlantic City, New Jersey

NPI Number1407054364
Practice location
801 Boardwalk, Atlantic City, NJ 08401-7509
Fax
609-343-4006
Last updated
July 8, 2007

Mary Ellen Lewis is a Physician Assistant based in Atlantic City, NJ. Mary Ellen Lewis practices in Atlantic City, NJ and has the professional credentials of PA-C. The NPI Number for Mary Ellen Lewis is 1407054364 and holds a License No. 25MP00032700 (NJ). The current practice location address for Mary Ellen Lewis is 801 Boardwalk, Atlantic City, NJ 08401-7509 and can be reached out via phone at 609-343-4003 and via fax at 609-343-4006.

Provider Profile Details

NPI Number
1407054364
Provider Name
Mary Ellen Lewis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
801 Boardwalk, Atlantic City, NJ 08401-7509
Phone Number
609-343-4003
Fax Number
609-343-4006
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
801 Boardwalk
Atlantic City, NJ 08401-7509
Zip
08401-7509
Phone Number
609-343-4003
Fax Number
609-343-4006
Atlantic City, NJ 08401Get directions →

Provider Business Mailing Address Details

Address
700 Pennlyn Pl
Ocean City, NJ 08226-4156
City
Ocean City
State
NJ
Zip
08226-4156
Phone Number
609-814-0339

License Information

License Number
25MP00032700
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Mary Ellen Lewis, PA-C?

The NPI number of Mary Ellen Lewis, PA-C is 1407054364. It was assigned on July 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Mary Ellen Lewis, PA-C?

Mary Ellen Lewis, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00032700.

Where does Mary Ellen Lewis, PA-C practice?

The practice location is 801 Boardwalk, Atlantic City, NJ 08401-7509. The office can be reached at 609-343-4003 (phone) or 609-343-4006 (fax).

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 1407054364 directly on the NPPES registry website.

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