MRS. TARA MARIE LEWIS N.P.
NPI 1427107531
Nurse Practitioner - Pediatrics in Port Jefferson, NY

Q: What is Tara Lewis's NPI number?

The NPI number for Tara Lewis is 1427107531. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Tara Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tara Lewis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2007PECOS Enrolled

200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Tara Marie Lewis N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TARA MARIE LEWIS N.P. (NPI 1427107531) is an individual pediatrics provider in Port Jefferson, New York, licensed in New York (F381695) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427107531

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. TARA MARIE LEWISCredential: N.P.

Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928

Mailing Address6 Winding Wood CtMount Sinai, NY 11766-3319 · (631) 331-3652

Phone(631) 474-6000

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1427107531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F381695

200 BELLE TERRE RD, Port Jefferson, NY 11777

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tara Marie Lewis N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY BRIAN KWAN MD

Emergency Medicine