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DR. JEFFREY SCOTT LEWIS M.D., D.M.D.
NPI 1689761025
Oral & Maxillofacial Surgery in Ithaca, NY

Active since October 06, 2006PECOS Enrolled
200 EAST BUFFALO STREET, SUITE 304, ITHACA, NY 14850(607) 277-7007(607) 277-5434 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Scott Lewis M.d., D.m.d. NPPES

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

DR. JEFFREY SCOTT LEWIS M.D., D.M.D. (NPI 1689761025) is an individual oral & maxillofacial surgery provider in Ithaca, New York, licensed in New York (197617-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689761025
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JEFFREY SCOTT LEWISCredential: M.D., D.M.D.
Location Address200 EAST BUFFALO STREET, SUITE 304Ithaca, NY 14850
Mailing Address200 East Buffalo Street, #304Ithaca, NY 14850 · (607) 277-7007 · Fax (607) 277-5434
Phone(607) 277-7007
Fax(607) 277-5434
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateDecember 14, 2016
✔ NPI 1689761025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NY · 197617-1
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 544761 (NY)
200 EAST BUFFALO STREET, Ithaca, NY 14850
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Other Identifiers 3

Medicare ID-Type Unspecified55411B
Medicare UPINE95799
Medicare UPINE95799NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Scott Lewis M.d., D.m.d. 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.

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 Jeffrey Lewis's NPI number?

The NPI number for Jeffrey Lewis is 1689761025. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Jeffrey Lewis located?

Jeffrey Lewis practices at 200 East Buffalo Street Suite 304, Ithaca, NY 14850. The listed phone number is (607) 277-7007.

What is Jeffrey Lewis's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jeffrey Lewis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Lewis was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.