Emily Lewis
Dentist, General Practice in Medford, NJ. Individual provider (NPI-1).
NPI number1013769728
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1013769728
- Entity type
- Individual (NPI-1)
- Name
- Emily Lewis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 22Dl03111300 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
133 Jackson Rd Ste EMedford, NJ 08055-9234
Phone 609-953-4300
Mailing address
133 Jackson Rd Ste EMedford, NJ 08055-9234
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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