MEDICARE: LEWIN, FAGEN & LOWN, M.D. P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1528134426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEWIN, FAGEN & LOWN, M.D. P.C.

Provider Business Mailing Address
First Line	:	994 W JERICHO TPKE STE 201
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-3234
Country	:	US
Telephone Number	:	631-864-4499
Fax Number	:	631-864-2693

Provider Business Practice Location Address
First Line	:	2171 JERICHO TPKE STE 100
Second Line	:
City	:	COMMACK
State	:	NY
Zip	:	11725-2900
Country	:	US
Telephone Number	:	631-864-4499
Fax Number	:	631-864-2693

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHAN S. LOWN
Credential	:	M.D.
Telephone Number	:	631-343-7242

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	04/13/2020

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