National Provider Identifier Database

ATLANTIC ENDOCRINOLOGY AND DIABETES PC
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.


Contact Information

ATLANTIC ENDOCRINOLOGY AND DIABETES PC
9725 63RD DR
REGO PARK, NY11374-2229
Phone: 718-275-2900
Fax: 718-275-2944
Website:
Specialty Taxonomy Code
* Endocrinology, Diabetes & Metabolism 207RE0101X
Allergy & Immunology 207K00000X
Family Medicine 207Q00000X
Nephrology 207RN0300X
Neurology 2084N0400X
Physical Therapist 225100000X
Podiatrist 213E00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for ATLANTIC ENDOCRINOLOGY AND DIABETES PC

NPI Number 1407059199
Legal business name
LBN
ATLANTIC ENDOCRINOLOGY AND DIABETES PC
Authorized official STELLA ILYAYEVA - (MD)
Entity Organization
Organization subpart No
Enumeration date 06/08/2007
Last updated 02/18/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 02148396
  • NY Medicaid: 03436793

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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