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Shanda Lewis , MS, D0

Pediatrics β€’ Brick, NJ

Active NPI 1285262469 Individual Practitioner Female Practitioner
Practice location in NPPES

425 Jack Martin Blvd
Brick, NJ 087247732

Call 7328402200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

425 Jack Martin Blvd

Brick, NJ 087247732

Telephone 7328402200
Organization at the Same NPPES Address or Phone
Shore Radiation Oncology, Llc. Facility NPI 1780686741

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shanda Lewis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shanda Lewis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brick and New Jersey

14 active clinicians are listed under Pediatrics with a practice address in Brick, NJ (2,185 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brick

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NJ 25MB11808600

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20231201000776

Enrollment State Jurisdiction

NJ

PECOS Control ID

2769830751

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Zaka Ahmed

Student in an Organized Health Care Education/Training Program

NPI 1013595305
Dr. Muhammad Ali , DO

Emergency Medicine

NPI 1447607247

Doctor of Osteopathic Medicine (D.O.)

Dr. Xue Ao , MD

Internal Medicine

NPI 1538797436

Doctor of Medicine (M.D.)

William Bogdon

Nurse Anesthetist, Certified Registered

NPI 1285363770
Dr. Charles Bond , DO

Family Medicine

NPI 1144807207

Doctor of Osteopathic Medicine (D.O.)

Dr. Samuel Carino , DO

Emergency Medicine

NPI 1528069044

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address May 23, 2023

Registered at 425 JACK MARTIN BLVD, BRICK, NJ 087247732 (Tel: 7327755500)

πŸ‘€
Provider Name / Credentials Updated May 23, 2023

Recorded as SHANDA LEWIS, MS, D0

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2023

Pediatrics (license number reported to NPPES: NJ 25MB11808600)

βœ…
NPI Profile Active April 01, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 01, 2020

Registered at 425 JACK MARTIN BLVD, BRICK, NJ 087247732 (Tel: 7328402200)

πŸ“
Business Mailing Address (Initial Record) April 01, 2020

Registered at 17609 137TH AVE, JAMAICA, NY 114344531 (Tel: 3474064565)

πŸ‘€
Provider Name / Credentials (Initial Record) April 01, 2020

Recorded as SHANDA LEWIS, MS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 01, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285262469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2020
Last Update: May 23, 2023
Sole Proprietor: No

Mailing Address

425 Jack Martin Blvd

Brick, NJ 087247732

Phone: 7327755500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.