Mark Lowenheim, MD PLLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

170700 Issued in NY

Legal business name

MARK LOWENHEIM, MD PLLC

Doing business as

Long Island Pediatric Gastroenterology

Practice address

1174 Route 112
Port Jefferson Station, NY 11776-8033

Phone

(631) 403-4507

Fax

(631) 642-2475

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Lowenheim, MD

Title

Owner

Phone

(631) 403-4507

Specialties & licenses 1

Addresses

Other names 1

• Long Island Pediatric Gastroenterology Doing business as

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1801106125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 ROUTE 112",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768033",
            "telephone_number": "631-403-4507",
            "fax_number": "631-642-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 ROUTE 112",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768033",
            "telephone_number": "631-403-4507",
            "fax_number": "631-642-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LOWENHEIM, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "LOWENHEIM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-403-4507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "170700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Pediatric Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Marie Mann, ANP
• Cara Marcy
• Suzette Mariano
• Kathleen Ann Marinelli, M.S., SLP ,CCC-SP
• Danielle Marino IX
• Sheri Lynn Markey, RN
• Nicole Marmol
• Kathleen Marose, OTR/L
• Martha Patricia Aponte Doctor of Podiatric Medicine PC
• Helen Catherine Martinetti, M.A.,C.C.C.

• Pediatric Gastroenterology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Pediatric Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.