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GLENDON G LEWIS JR. PA
NPI 1669728549
Physician Assistant in East Meadow, NY

Active since July 30, 2012PECOS Enrolled
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554(516) 572-0123 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2022, Dec 21, 2021, Jul 11, 2019 (3 updates tracked since 2019).

About Glendon G Lewis Jr. Pa NPPES

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

GLENDON G LEWIS JR. PA (NPI 1669728549) is an individual physician assistant in East Meadow, New York, licensed in California (60500) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1669728549
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLENDON G LEWIS JR.Credential: PA
Location Address2201 HEMPSTEAD TPKEEast Meadow, NY 11554-1859
Mailing Address2201 Hempstead TpkeEast Meadow, NY 11554-1859 · (516) 572-0123
Phone(516) 572-0123
Sole ProprietorNo
Enumeration DateJuly 30, 2012
Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1669728549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 60500
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2201 HEMPSTEAD TPKE, East Meadow, NY 11554
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Secondary Practice Location 1

Location 1925 Corporate Cntr Pkwy Ste ASanta Rosa, CA 95407-5453 · Phone (707) 543-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glendon G Lewis Jr. Pa 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11554 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

ROSITA BERNADOTTE R.N.
Registered Nurse
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
KENICE E. DALTON JR. O.T.
Occupational Therapist
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
VIVIAN LYNN POLLOCK M.S.W.
Social Worker
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
CICILY BROWN R.N.
Registered Nurse
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
SHAMAILA IDREES M.D.
Psychiatry & Neurology (Psychiatry)
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6171
DR. SARAH ROSE STEVENS DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-0123
WEI LEONG DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6177
KONSTANTINOS IOANNIS FORTOUNAS MD
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glendon Lewis's NPI number?

The NPI number for Glendon Lewis is 1669728549. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Glendon Lewis located?

Glendon Lewis practices at 2201 Hempstead Tpke, East Meadow, NY 11554. The listed phone number is (516) 572-0123.

What is Glendon Lewis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Glendon Lewis enrolled in Medicare?

Yes. Glendon Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glendon Lewis was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.