LEWIS NELSON (M.D.) – Emergency Medicine Physician, NPI 1639164635

LEWIS NELSON (M.D.) is a healthcare provider. based in Newark, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME171142 (NJ). The NPI Number for LEWIS NELSON (M.D.) is 1639164635

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
LEWIS NELSON (M.D.)
NPI
1639164635
Phone
(973) 972-0037
Address
30 BERGEN ST
Enumeration Date
15 September 2005
Last Update Date
29 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
5092991091
Professional Enrollment ID
I20250813003586
Address ID
FL333232857SU1643XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for LEWIS NELSON (M.D.)

  • 30, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    ROOM 1205

    NEWARK, NJ 071073000

    Phone: (973) 972-0037

    Type: Mailing

  • University Hospital, 150, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    NEWARK, NJ 071032496

    Phone: (973) 972-8475

    Type: Location

  • 777 GLADES RD # BC-71

    BOCA RATON, FL 334316496

    Phone: (561) 297-0133

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161102002327IEmergency MedicineNJTBD
I20250813003586IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making3535$0
View full utilization report →

Insurance plans in this area (ZIP 07107)

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Reviews

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Frequently asked questions

Does LEWIS NELSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LEWIS NELSON (M.D.) uses 1639164635.
Does CMS list LEWIS NELSON (M.D.) as active?
Yes — LEWIS NELSON (M.D.) is active in the NPI listing used on this page.
What healthcare role does LEWIS NELSON (M.D.) hold?
Scheduling teams often label LEWIS NELSON (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is LEWIS NELSON (M.D.) based?
LEWIS NELSON (M.D.) is tied to Newark, New Jersey in the data we show; additional addresses may exist on the full record.
Is the information about LEWIS NELSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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