Provider Demographics
NPI:1255650644
Name:PAUL LEWINTER, M.D. PA
Entity Type:Organization
Organization Name:PAUL LEWINTER, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWINTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-233-9020
Mailing Address - Street 1:2253 SOUTH AVE.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-6404
Mailing Address - Country:US
Mailing Address - Phone:908-233-9020
Mailing Address - Fax:908-233-6404
Practice Address - Street 1:2253 SOUTH AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-6404
Practice Address - Country:US
Practice Address - Phone:908-233-9020
Practice Address - Fax:908-233-6404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
055164Medicare PIN
C52825Medicare UPIN