Healthcare Provider Details

I. General information

NPI: 1609401744
Provider Name (Legal Business Name): JOSHUA B LEWIS PHD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST # F-1600
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

525 E 68TH ST # F-1600
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-1500
  • Fax: 212-746-8303
Mailing address:
  • Phone: 212-746-1500
  • Fax: 212-746-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number344645
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: