Healthcare Provider Details
I. General information
NPI: 1528134426
Provider Name (Legal Business Name): LEWIN, FAGEN & LOWN, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2171 JERICHO TPKE STE 100
COMMACK NY
11725-2900
US
IV. Provider business mailing address
2171 JERICHO TPKE STE 100
COMMACK NY
11725-2900
US
V. Phone/Fax
- Phone: 631-864-4499
- Fax: 631-864-2693
- Phone: 631-343-7242
- Fax: 631-343-7245
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JONATHAN
S.
LOWN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 631-343-7242