MARK BERNARD LEW M.D.
NPI 1851357560
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since April 21, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0861075 · Certificate of Compliance
2704 GLENWOOD RD, MARK B. LEW, MD, LLC, BROOKLYN, NY 11210(718) 859-6440(718) 434-0368 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Bernard Lew M.d. NPPES

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

MARK BERNARD LEW M.D. (NPI 1851357560) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (133922) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through March 28, 2027, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1851357560
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameMARK BERNARD LEWCredential: M.D.
Location Address2704 GLENWOOD RD, MARK B. LEW, MD, LLCBrooklyn, NY 11210-2326
Mailing Address2704 Glenwood Rd, Mark B. Lew, Md, LlcBrooklyn, NY 11210-2326 · (718) 859-6440 · Fax (718) 434-0368
Fax(718) 434-0368
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateApril 21, 2006
Last NPPES UpdateOctober 28, 2011
NPI 1851357560 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 Identifiers 2

Medicaid00512203NY
Medicare UPINC09139NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Bernard Lew M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113246356
PECOS Enrollment IDI20230316001539
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 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
2704 GLENWOOD RD
BROOKLYN, NY 11210
Pediatrics (Adolescent Medicine)
2704 GLENWOOD RD
BROOKLYN, NY 11210
Pediatrics
2704 GLENWOOD RD
BROOKLYN, NY 11210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Lew's NPI number?

The NPI number for Mark Lew is 1851357560. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Mark Lew located?

Mark Lew practices at 2704 Glenwood Rd Mark B. Lew, MD, LLC, Brooklyn, NY 11210. The listed phone number is (718) 859-6440.

What is Mark Lew's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mark Lew enrolled in Medicare?

Yes. Mark Lew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Mark Lew hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0861075) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark Lew was last updated on October 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.