Active NPI
Kenneth Lawrence Feuerstein, M.D.
- Pediatric Adolescent Medicine Physician
- Brooklyn, NY
National Provider Identifier
1851357693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 186455
- Practice address
- 2704 Glenwood Rd
Mark B. Lew, MD, LLC
Brooklyn, NY 11210-2326 - Phone
- (718) 859-6440
- Fax
- (718) 434-0368
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 186455 | NY | Primary |
Addresses
Primary practice location
2704 Glenwood Rd
Mark B. Lew, MD, LLC
Brooklyn, NY 11210-2326
Mailing address
2704 Glenwood Rd
Mark B. Lew, MD, LLC
Brooklyn, NY 11210-2326
Phone (718) 859-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01336805 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186455 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Mark B. Lew, MD, LLC | Adolescent Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kennethfeuerstein@mai.allscriptsdirect.net
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- kef9060@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Pediatric Adolescent Medicine Physician
- Brooklyn, NY
- NPI 1649323601
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1851357693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 GLENWOOD RD",
"address_2": "MARK B. LEW, MD, LLC",
"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",
"address_2": "MARK B. LEW, MD, LLC",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102326",
"telephone_number": "718-859-6440",
"fax_number": "718-434-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEUERSTEIN",
"first_name": "KENNETH",
"middle_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "186455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01336805",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.