MARK B. LEW, MD, LLC PEDIATRIC CENTER
NPI 1649323601
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since January 20, 2007CLIA 33D0861075 · Certificate of Compliance
2704 GLENWOOD RD, BROOKLYN, NY 11210(718) 859-6440(718) 434-0368 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark B. Lew, Md, Llc Pediatric Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK B. LEW, MD, LLC PEDIATRIC CENTER (NPI 1649323601) is a healthcare organization registered as an adolescent medicine in Brooklyn, New York and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 28, 2027 and lists Mark B. Lew, Owner, as its authorized official.

NPPES Registry Identity

NPI1649323601
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMARK B. LEW, MD, LLC
Location Address2704 GLENWOOD RDBrooklyn, NY 11210-2326
Mailing Address2704 Glenwood RdBrooklyn, NY 11210-2326 · (718) 859-6440 · Fax (718) 434-0368
Fax(718) 434-0368
Organization SubpartNo
Authorized OfficialMark B. LewOwner · (718) 859-6440
Enumeration DateJanuary 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1649323601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NY · 133922
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2704 GLENWOOD RD, Brooklyn, NY 11210

Other Names 1

Doing Business AsMark B. Lew, Md, Llc Pediatric Center

Other Identifiers 1

Medicaid00512203NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0861075

Mark B Lew, MD LLC Pediatric Center · Brooklyn, NY
Active · expires Mar 28, 2027
CLIA Number33D0861075
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDr. Mark B. Lew
Laboratory Phone(718) 859-6440
Laboratory LocationMark B Lew, MD LLC Pediatric Center2704 Glenwood Road, Brooklyn, NY 11210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Adolescent Medicine)
2704 GLENWOOD RD, MARK B. LEW, MD, LLC
BROOKLYN, NY 11210
Pediatrics (Adolescent Medicine)
2704 GLENWOOD RD, MARK B. LEW, MD, LLC
BROOKLYN, NY 11210
Pediatrics (Adolescent Medicine)
2704 GLENWOOD RD, MARK B. LEW, MD, LLC
BROOKLYN, NY 11210
Pediatrics
2704 GLENWOOD RD
BROOKLYN, NY 11210
Pediatrics
2704 GLENWOOD RD
BROOKLYN, NY 11210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649323601, enumerated as an "organization" on January 20, 2007.

The provider is located at 2704 GLENWOOD RD BROOKLYN, NY 11210 and the phone number is (718) 859-6440.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.