Dr Shanda Lewis, MS, D0 | |
425 Jack Martin Blvd, Brick, NJ 08724-7732 | |
(732) 840-2200 | |
Not Available |
Full Name | Dr Shanda Lewis |
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Gender | Female |
Speciality | Pediatrics |
Location | 425 Jack Martin Blvd, Brick, 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 |
---|---|---|---|
1285262469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB11808600 (New Jersey) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Central Jersey Emergency Medicine Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538106257 PECOS PAC ID: 2769386812 Enrollment ID: O20031121000027 |
Mailing Address | Practice Location Address |
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Dr Shanda Lewis, MS, D0 425 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (732) 775-5500 | Dr Shanda Lewis, MS, D0 425 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (732) 840-2200 |
Dr. Theodore Biesiadecki Jr., PHYS PEDIATRICIAN Pediatrics Medicare: Medicare Enrolled Practice Location: 7 Brant Dr, Brick, NJ 08724 Phone: 742-456-0098 | |
Dr. Maria Collado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2211 Route 88, Suite 2a, Brick, NJ 08724 Phone: 732-899-0008 Fax: 732-899-0447 | |
Dr. Ayman Mohammed Omar Mansour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 40 Mayfair Ct, Brick, NJ 08723 Phone: 609-495-4826 | |
Mrs. Elizabeth Flores Nepomuceno, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-458-1177 Fax: 732-458-5942 | |
Maria Angela Tobias Umali-pamintuan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1623 Route 88 West, Suite A, Brick, NJ 08723 Phone: 732-458-9666 Fax: 732-458-0840 | |
Dr. Glenn Joseph Gormley, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 North Dr, Brick, NJ 08724 Phone: 732-892-8947 | |
Mrs. Stephanie E Chin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1623 Route 88 W Ste A, Brick, NJ 08724 Phone: 732-458-9666 |