| NPI | 1407059199 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-06-08 |
| Last Updated | 2026-02-18 |
| Authorized Official | Stella Ilyayeva MD Phone: 7182752900 |
| Mailing Address | 9725 63rd Dr Rego Park, NY 11374-2229 United States Phone: (718) 275-2900 | Fax: (718) 275-2944 📍 View Map |
| Primary Practice Address | 9725 63rd Dr Rego Park, NY 11374-2229 United States Phone: (718) 275-2900 | Fax: (718) 275-2944 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02148396 | - |
| MEDICAID | NY | 03436793 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | - | - |
| No | 2084N0400X – Psychiatry & Neurology, Neurology | - | - |
| No | 213E00000X – Podiatrist | - | - |
| No | 208G00000X – Thoracic Surgery (Cardiothoracic Vascular Surgery) | - | - |
| No | 225100000X – Physical Therapist | - | - |
| No | 207RN0300X – Internal Medicine, Nephrology | - | - |
| No | 207K00000X – Allergy & Immunology | - | - |
| Yes | 207RE0101X – Internal Medicine, Endocrinology, Diabetes & Metabolism | - | - |
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About NPI 1407059199
Atlantic Endocrinology And Diabetes Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1407059199. The primary specialty listed is Internal Medicine, Endocrinology, Diabetes & Metabolism. The organization is located in Rego Park, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407059199?
NPI 1407059199 belongs to Atlantic Endocrinology And Diabetes Pc, a Internal Medicine, Endocrinology, Diabetes & Metabolism in Rego Park, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407059199 active?
The current status of NPI 1407059199 in the NPPES registry is Active. The record was last updated on 2026-02-18.
What specialty is NPI 1407059199?
NPI 1407059199 is classified under the taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407059199?
You can verify NPI 1407059199 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407059199?
The primary practice address on file for NPI 1407059199 is 9725 63rd Dr, Rego Park, NY 11374-2229. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407059199 issued?
NPI 1407059199 was first issued (enumerated) on 2007-06-08. The NPPES record was last updated on 2026-02-18.
Practice Location Map
Atlantic Endocrinology And Diabetes Pc is located at 9725 63rd Dr, Rego Park, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Atlantic Endocrinology And Diabetes Pc. All records sourced from the CMS NPPES registry.