Active NPI
Bernard Lewin, MD
- General Practice Physician
- Huntingdon Valley, PA
National Provider Identifier
1104855055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD035816E
- Practice address
- 3264 Paper Mill Rd
Huntingdon Valley, PA 19006-3720 - Phone
- (215) 776-0499
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD035816E | PA | Primary |
| Specialist | 174400000X | MD035816E | PA |
Addresses
Primary practice location
3264 Paper Mill Rd
Huntingdon Valley, PA 19006-3720
Mailing address
3264 Paper Mill Rd
Huntingdon Valley, PA 19006-3720
Phone (215) 776-0499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01109202 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035816E | PA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Norriton Physicians Services | Past | Accepting new patients | |
| Barden Thorwarth Daughtridge LTD | Diagnostic Radiology | Past | Accepting new patients |
| PA Orthopedic Imaging Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1972597565
Diagnostic Radiology
-
- Radiology Clinic/Center
- East Norriton, PA
- NPI 1659300291
-
- Diagnostic Radiology Physician
- Huntingdon Valley, PA
- NPI 1841247665
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1104855055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 PAPER MILL RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063720",
"telephone_number": "215-776-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 PAPER MILL RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063720",
"telephone_number": "215-776-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN",
"first_name": "BERNARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD035816E",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD035816E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01109202",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.