Provider Demographics
NPI:1649635632
Name:LEWINSKI, IWONA M (CNM)
Entity type:Individual
Prefix:
First Name:IWONA
Middle Name:M
Last Name:LEWINSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-1621
Mailing Address - Country:US
Mailing Address - Phone:201-444-4473
Mailing Address - Fax:201-236-5269
Practice Address - Street 1:550 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1621
Practice Address - Country:US
Practice Address - Phone:201-444-4473
Practice Address - Fax:201-236-5269
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00058701367A00000X
NJ25ME00058700367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife