Provider Demographics
NPI:1134202831
Name:LEW-ZEISEL, LAI PING (MD)
Entity type:Individual
Prefix:
First Name:LAI PING
Middle Name:
Last Name:LEW-ZEISEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1900
Mailing Address - Country:US
Mailing Address - Phone:973-478-9299
Mailing Address - Fax:973-478-9652
Practice Address - Street 1:246 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-1900
Practice Address - Country:US
Practice Address - Phone:973-478-9299
Practice Address - Fax:973-478-9652
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215664208000000X
NJ25MA08243500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
569871Medicare ID - Type Unspecified
H06605Medicare UPIN