ENDOCRINE TECHNOLOGY, LLC (NPI# 1275992034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275992034 |
| Entity Type | Organization |
| Organization Name | ENDOCRINE TECHNOLOGY, LLC |
| Other Organization Name | KUMAR SHAH, M.D. |
| Practice Address |
230 Hilton Ave Suite 17 Hempstead NY 11550-8115 |
| Mailing Address |
230 Hilton Ave Suite 17 Hempstead NY 11550-8180 |
| Practice Telephone | 3473023107 |
| Practice Fax Number | 7182221350 |
| Mailing Telephone | 3473023107 |
| Mailing Fax Number | 7182221350 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | DR. KUMARPAL AMBALAL SHAH (PRESIDENT) |
| Authorized Official Telephone | 3473023107 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | KUMAR SHAH, M.D. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
139486 | NY | Ambulatory Health Care Facilities |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
139486 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE | 112009 | 01 |
| NY | HIP | 139486 | 01 |
| NY | BLUESHIELD | 67A031 | 01 |
| NY | 00770576 | 05 | |
| NY | MAGNACARE | 011549885 | 01 |
| NY | FIDELIS | 100901000078 | 01 |
| NY | MEDICARE RAILROAD | P00106364 | 01 |
| NY | ELDERPLAN | 193525 | 01 |
| NY | HEALTH FIRST | 340290101 | 01 |
| NY | GHI | 1093995524 | 01 |
| NY | EMBLEM | 112009 | 01 |
| NY | NEIGHOURHOOD PLAN | 996181 | 01 |
| NY | WELLCARE | N214201 | 01 |
| NY | OXFORD | P2090111 | 01 |
| Other Name | Type Code |
|---|---|
| Kumar Shah, M.D. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ENDOCRINE TECHNOLOGY, LLC | 326 Livingston St Ste A, Brooklyn, NY 11217-1002 |
| Street Address |
230 HILTON AVE SUITE 17 |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-8115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058163 | Ranvir Singh Yadav | Internal Medicine | 230 Hilton Ave, Ste 105, Hempstead, NY 11550-8115 | 2005-07-22 |
| 1831627850 | Jayna Phillips | Family Medicine | 230 Hilton Ave, Hempstead, NY 11550-8115 | 2017-06-03 |
| 1154869543 | South Nassau Physical Therapy PC | Physical Therapist | 230 Hilton Ave, Suite 19 and 20, Hempstead, NY 11550-8115 | 2017-02-06 |
| 1356798417 | Krissa Livoti | Occupational Therapist | 230 Hilton Ave, Suite 19, Hempstead, NY 11550-8115 | 2016-05-18 |
| 1619324803 | South Nassau Physical Therapy | Clinic/Center | 230 Hilton Ave, Suite 19, Hempstead, NY 11550-8115 | 2016-05-18 |
| 1033547518 | Mager & Gougelman, Inc | Prosthetic/Orthotic Supplier | 230 Hilton Ave, Suite 112, Hempstead, NY 11550-8115 | 2013-10-22 |
| 1417393331 | Empire Cardiovascular, P.C. | Internal Medicine | 230 Hilton Ave, Suite 105, Hempstead, NY 11550-8115 | 2013-05-18 |
| 1538412093 | Cheniqua Jose | Doula | 230 Hilton Ave, Hempstead, NY 11550-8115 | 2012-10-22 |
| 1639430630 | Lina Gilic | Specialist | 230 Hilton Ave, Suite 221, Hempstead, NY 11550-8115 | 2012-06-06 |
| 1538469713 | Gamaliel Immanuel,physician PC | Internal Medicine | 230 Hilton Ave, Suite 214, Hempstead, NY 11550 | 2010-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.