Mark B. Lew, MD, LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

133922 Issued in NY

Legal business name

MARK B. LEW, MD, LLC

Doing business as

Mark B. Lew, MD, LLC Pediatric Center

Practice address

2704 Glenwood Rd
Brooklyn, NY 11210-2326

Phone

(718) 859-6440

Fax

(718) 434-0368

NPI assigned

Jan 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark B. Lew, MDNPI 1851357560

Title

Owner

Phone

(718) 859-6440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mark B. Lew, MD, LLC Pediatric Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Bernard Lew, M.D.

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
  • NPI 1851357560
  Medicare reassignment NPD Authorized official
• Kenneth Lawrence Feuerstein, M.D.

  • Pediatric Adolescent Medicine Physician
  • Brooklyn, NY
  • NPI 1851357693
  NPD (past)
• Rachel Danielle Filter, CPNP

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1790391407
  NPD (past)
• Daphnee Jean-Francois, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1417240086
  NPD (past)
• Stephanie Choy, CPNP

  • Nurse Practitioner
  • Palo Alto, CA
  • NPI 1336754282
  NPD (past)
• Sydney Nicole Rudnicki, APRN, CPNP-PC

  • Nurse Practitioner
  • New Orleans, LA
  • NPI 1629623871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649323601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102326",
            "telephone_number": "718-859-6440",
            "fax_number": "718-434-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102326",
            "telephone_number": "718-859-6440",
            "fax_number": "718-434-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B. LEW, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-859-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "133922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00512203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark B. Lew, MD, LLC Pediatric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cleofe Mariscal, P.T
• Maria Susana Maritato, M.D.
• Sarah Marius-Wilson, RN
• Mariyam Abbasi
• Marjorie McDonald
• Mark Braunstein DO PLLC
• Mark D. Debock DDS
• Mark Daco Family Health NP PLLC
• Mark E. Staton Consulting Inc
• Mark Elliott Hupart Doctor of Podiatric Medicine LLC

• Pediatric Adolescent Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.