LONG ISLAND DIABETES & ENDOCRINOLOGY, PC (NPI# 1770727935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770727935 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND DIABETES & ENDOCRINOLOGY, PC |
| Practice Address |
421 Deer Park Ave Babylon NY 11702-2313 |
| Mailing Address |
415 Garden St Bellmore NY 11710-4517 |
| Practice Telephone | 6319411000 |
| Practice Fax Number | 6319411010 |
| Mailing Telephone | 6319411000 |
| Mailing Fax Number | 6319411010 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Authorized Official Name | MR. BARBARA H O'BRIEN (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 6319411000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
2075821 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1497740781 | 01 |
| NY | NPI-GROUP | 1962496968 | 01 |
| Street Address |
421 DEER PARK AVE |
| City | BABYLON |
| State | NY |
| Zip Code | 11702-2313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496968 | Long Island Diabetes & Endocrinology Associates, LLP | Internal Medicine | 421 Deer Park Ave, Babylon, NY 11702 | 2005-09-06 |
| 1952933624 | Jenna Bermudez | Nurse Practitioner | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2020-02-10 |
| 1679833784 | Carmen Millicent Bassaragh | Dietitian, Registered | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2012-05-22 |
| 1306139241 | Christina Diana | Dietitian, Registered | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2011-05-25 |
| 1437453602 | Suzanne Reuter | Physician Assistant | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2011-01-03 |
| 1023061058 | Vincent Bayarri | Pediatrics | 421 Deer Park Ave, Babylon, NY 11702-2313 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
| 1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
| 1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
| 1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
| 1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
| Find all providers in zip 11702 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 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.