Organization Active NPI

Endocrine Consultants of Long Island LLP

  • Endocrinology, Diabetes & Metabolism Physician
  • Great Neck, NY
National Provider Identifier
1598061046
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
175465 Issued in NY
Legal business name
ENDOCRINE CONSULTANTS OF LONG ISLAND LLP
Practice address
29 Barstow Road
Suite 305
Great Neck, NY 11021
Phone
(516) 482-0347
Fax
(516) 482-3267
NPI assigned
Feb 1, 2011
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Rory S Breidbart, MDNPI 1285600973
Title
Manager Partner
Phone
(516) 482-0347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1754665 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 175465 NY Primary

Addresses

Primary practice location

29 Barstow Road
Suite 305
Great Neck, NY 11021

Mailing address

29 Barstow Road
Suite 305
Great Neck, NY 11021
Phone (516) 482-0347

Other practice location 1

29 Barstow Road
Suite 305
Great Neck, NY 11021
Phone (516) 482-0347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000344 NY Part B Supplier - Clinic/Group Practice 2961685300 Receives reassigned benefits from 3 practitioners
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

29 Barstow Rd
Ste 305
Great Neck, NY 11021
Phone (516) 482-0347

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1598061046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW ROAD",
            "address_2": "SUITE 305",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-482-0347",
            "fax_number": "516-482-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BARSTOW ROAD",
            "address_2": "SUITE 305",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-482-0347",
            "fax_number": "516-482-3267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Barstow Road",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "11021",
            "country_code": "US",
            "telephone_number": "516-482-0347",
            "fax_number": "516-482-3267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINE CONSULTANTS OF LONG ISLAND LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "BREIDBART",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER PARTNER",
        "authorized_official_telephone_number": "516-482-0347",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1754665",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "175465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.