NPIMap

Organization Active NPI

Diabetes Management Partners LLC

Doing business as GlyCare

  • Endocrinology, Diabetes & Metabolism Physician
  • Bethpage, NY
National Provider Identifier
1013461193
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES MANAGEMENT PARTNERS LLC
Doing business as
GlyCare
Practice address
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone
(904) 372-3943
NPI assigned
Aug 7, 2016
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Mooney
Title
Ceo
Phone
(904) 372-3943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

4295 Hempstead Tpke
Bethpage, NY 11714-5713

Mailing address

7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Phone (904) 372-3943

Other practice location 1

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (904) 372-3943

Other practice location 2

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (904) 372-3943

Other practice location 3

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (904) 372-3943

Other practice location 4

1635 North Loop W
Houston, TX 77008-1532
Phone (904) 372-3943

Other practice location 5

921 Gessner Rd
Houston, TX 77024-2501
Phone (904) 372-3943

Other practice location 6

901 Harry S Truman Dr N
Largo, MD 20774-5477
Phone (904) 372-3943

Other practice location 7

50 New York Ave # 25A
Smithtown, NY 11787-3448
Phone (904) 372-3943

Other practice location 8

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (904) 372-3943

Other practice location 9

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (904) 372-3943

Other practice location 10

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (904) 372-3943

Other practice location 11

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (904) 372-3943

Other practice location 12

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone (904) 372-3943

Other names 1

  • GlyCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, MD, NY, DC, TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20170410000181 FL Part B Supplier - Clinic/Group Practice 9436435385 Receives reassigned benefits from 20 practitioners
Practice locations: Miami Beach, FL; Tampa, FL
O20180515003077 AL Part B Supplier - Clinic/Group Practice 9436435385 Receives reassigned benefits from 39 practitioners
Practice locations: Mobile, AL; Birmingham, AL
O20250617000296 MD Part B Supplier - Clinic/Group Practice 9436435385 Receives reassigned benefits from 26 practitioners
1 other NPI on this enrollment
Practice locations: Bel Air, MD; Glen Burnie, MD
O20250625004037 NY Part B Supplier - Clinic/Group Practice 9436435385 Receives reassigned benefits from 11 practitioners
Practice locations: Bethpage, NY; Port Jefferson, NY; Smithtown, NY
O20250909001007 DC Part B Supplier - Clinic/Group Practice 9436435385 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Upper Marlboro, MD
O20260422000232 TX Part B Supplier - Clinic/Group Practice 9436435385 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX; Humble, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1013461193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 BELFORT PKWY STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566921",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145713",
            "telephone_number": "904-372-3943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083709",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18951 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384217",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896041",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 North Loop W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081532",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 Gessner Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242501",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Harry S Truman Dr N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207745477",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 New York Ave # 25A",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873448",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615803",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Upper Chesapeake Dr",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144324",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Medical Park Dr E",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353401",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Saint Vincents Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051601",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES MANAGEMENT PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-07",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-372-3943"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GlyCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.