Dr Michael Glenn Lewis, MD | |
1037 Route 46, Notchview Pediatrics, Clifton, NJ 07013-2451 | |
(973) 779-3911 | |
Not Available |
Full Name | Dr Michael Glenn Lewis |
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Gender | Male |
Speciality | Pediatrics |
Location | 1037 Route 46, Clifton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295901726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA08399800 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
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Dr Michael Glenn Lewis, MD 1037 Route 46 East, Suite 201, Clifton, NJ 07013-2473 Ph: (973) 779-3911 | Dr Michael Glenn Lewis, MD 1037 Route 46, Notchview Pediatrics, Clifton, NJ 07013-2451 Ph: (973) 779-3911 |
Tadeusz Jedlinski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 50 Mount Prospect Ave, Ste.202, Clifton, NJ 07013 Phone: 973-458-0407 Fax: 973-458-0889 | |
Katlyne Lubin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 Broad St, Clifton, NJ 07013 Phone: 888-244-5373 Fax: 973-365-3089 | |
Jagdish Seth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1115 Clifton Ave Ste 101, Clifton, NJ 07013 Phone: 973-250-2970 | |
Mirian Dolores Lugo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 344 Clifton Ave, Clifton, NJ 07011 Phone: 973-435-4545 Fax: 973-928-1899 | |
Janette Basta, Pediatrics Medicare: Medicare Enrolled Practice Location: 1035 Us Highway 46, Clifton, NJ 07013 Phone: 973-249-9620 | |
Lai Ping Lew-zeisel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 246 Clifton Ave, Clifton, NJ 07011 Phone: 973-478-9299 Fax: 973-478-9652 | |
Dr. Deniz Burton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 296 Clifton Ave, Clifton, NJ 07011 Phone: 973-249-8211 |