Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285262469 Individual Practitioner Female Practitioner

Shanda Lewis , MS, D0

Pediatrics • Brick, NJ

Professional Overview & Biography Verified Profile Summary

Shanda Lewis, MS, D0 is a registered healthcare professional specializing in Pediatrics in Brick, NJ. Practice services are available at 425 JACK MARTIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 Jack Martin Blvd

Brick, NJ 087247732

Telephone 7328402200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brick, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Brick, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MB11808600

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003565391

Doctor of Medicine (M.D.)

Saarthak Malhotra

Student in an Organized Health Care Education/Training Program

NPI 1003652454
Shawn Keating

Internal Medicine

NPI 1013545177
Zaka Ahmed

Student in an Organized Health Care Education/Training Program

NPI 1013595305
Dr. Ibrahim Alnaser , MD

Internal Medicine

NPI 1013646835

Doctor of Medicine (M.D.)

Yohana Revelo-Umana

Physician Assistant

NPI 1013648765

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address May 23, 2023

Registered at 425 JACK MARTIN BLVD, BRICK, NJ 087247732 (Tel: 7327755500)

👤
Provider Name / Credentials Updated May 23, 2023

Recorded as SHANDA LEWIS, MS, D0

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2023

Pediatrics (License #25MB11808600 in NJ)

NPI Profile Active April 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2020

Registered at 425 JACK MARTIN BLVD, BRICK, NJ 087247732 (Tel: 7328402200)

📍
Updated Business Mailing Address April 01, 2020

Registered at 17609 137TH AVE, JAMAICA, NY 114344531 (Tel: 3474064565)

👤
Provider Name / Credentials Updated April 01, 2020

Recorded as SHANDA LEWIS, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285262469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2020
Last Update: May 23, 2023
Sole Proprietor: No

Mailing Address

425 Jack Martin Blvd

Brick, NJ 087247732

Phone: 7327755500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.