Individual provider Active NPI

Bernard Delano Lewin, M.D.

  • Internal Medicine Physician
  • Hollis, NY
National Provider Identifier
1861404055
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125160 Issued in NY
Practice address
8791 193Rd Street
Hollis, NY 11432-2934
Phone
(718) 740-5440
Fax
(718) 740-5447
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125160 NY Primary

Addresses

Primary practice location

8791 193Rd Street
Hollis, NY 11432-2934

Mailing address

8791 193Rd Street
Hollis, NY 11432-2934
Phone (718) 740-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000005 NY Practitioner - Internal Medicine 3375723059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1861404055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 193RD STREET",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114322934",
            "telephone_number": "718-740-5440",
            "fax_number": "718-740-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 193RD STREET",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114322934",
            "telephone_number": "718-740-5440",
            "fax_number": "718-740-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "BERNARD",
        "middle_name": "DELANO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "125160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

Verify at the official NPI Registry.