Diabetes and Endocrine Care of Long Island PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

222570 Issued in NY

Legal business name

DIABETES AND ENDOCRINE CARE OF LONG ISLAND PLLC

Practice address

175 Jericho Tpke
Suite 300
Syosset, NY 11791-4532

Phone

(516) 496-1616

Fax

(516) 496-1617

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Namyi Yu, MDNPI 1831117399

Title

Physician

Phone

(646) 734-2978

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Namyi Yu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Syosset, NY
  • NPI 1831117399
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1194135483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PARK LANE DR",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071320",
            "telephone_number": "646-734-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 300",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-496-1616",
            "fax_number": "516-496-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINE CARE OF LONG ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "NAMYI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "646-734-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "222570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Derosa, LMT
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• Emmanuil Diamantakis, DDS
• Nikki Diamantopoulos, ATC
• Julia Margaret Digiacomo, LMSW
• Natalie Dilascio, LMSW
• David C. Dillon, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.