Marc Albert Lewandoski, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

211762-1 Issued in NY

Practice address

16 Van Cott Rd
Suite 2E
Deer Park, NY 11729-6519

Phone

(631) 274-0777

Fax

(631) 274-9499

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Medical Care, PC

  • Family Medicine Physician
  • Deer Park, NY
  • NPI 1861696171
  Medicare reassignment NPD Authorized official
• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD (past)
• Sunrise Family Medical, PC

  • Family Medicine Physician
  • Oakdale, NY
  • NPI 1932379914
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Suffolk Hospital

  dba Peconic Bay Homehealth Services

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
  • NPI 1902865355
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  dba Catholic Health Home Care

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1982676334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VAN COTT RD",
            "address_2": "SUITE 2E",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296519",
            "telephone_number": "631-274-0777",
            "fax_number": "631-274-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 VAN COTT RD",
            "address_2": "SUITE 2E",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296519",
            "telephone_number": "631-274-0777",
            "fax_number": "631-274-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOSKI",
        "first_name": "MARC",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211762-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Legros
• Samantha Legros, LPN
• Edgar F Lerias, MD
• Nathalie Lerouge
• Theresa L Lerro
• Maria Cristina Liguori, LCSW
• Patricia Lilley
• Rhoda Lin
• Charles Lipenholtz, D.D.S.
• Yolette Lissade, ED.D.

• Family Medicine Physician in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.