MEDICARE: DR. JONATHAN JOSPEH LEBOWITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD063327L	PA
2	174400000X	Specialist	25MA08315700	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00700401	OTHER	NJ	RAILROAD MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801860812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN JOSPEH LEBOWITZ MD

Provider Business Mailing Address
First Line	:	1 ROBERT WOOD JOHNSON PL
Second Line	:	RENAL DIVISION, 4TH FLOOR MEB
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-1928
Country	:	US
Telephone Number	:	732-235-4453
Fax Number	:	732-235-6124

Provider Business Practice Location Address
First Line	:	125 PATERSON ST
Second Line	:	SUITE 2100, 2ND FLOOR, KIDNEY TRANSPLANT
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-1962
Country	:	US
Telephone Number	:	732-235-8871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	06/12/2009

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