Organization Active NPI

Endocrine Associates of Long Island, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Smithtown, NY
National Provider Identifier
1619200896
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
154428 Issued in NY
Legal business name
ENDOCRINE ASSOCIATES OF LONG ISLAND, PC
Practice address
732 Smithtown Byp
Suite 103
Smithtown, NY 11787-5020
Phone
(631) 265-5501
Fax
(631) 265-5297
NPI assigned
Sep 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. David B Kugler, D.ONPI 1174570147
Title
Officer
Phone
(631) 265-5501

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 154428 NY Primary

Addresses

Primary practice location

732 Smithtown Byp
Suite 103
Smithtown, NY 11787-5020

Mailing address

732 Smithtown Byp
Suite 103
Smithtown, NY 11787-5020
Phone (631) 265-5501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100305000312 NY Part B Supplier - Clinic/Group Practice 5496890170 Receives reassigned benefits from 3 practitioners
Practice locations: Smithtown, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0158571Endocrine Associates of Long Island PC732 Smithtown Bypass, Suite 103, Smithtown, NY 11787ComplianceAug 15, 2027

National Provider Directory

National Provider Directory

Locations

732 Smithtown Byp
Ste 103
Smithtown, NY 11787
Phone (631) 265-5501

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1252195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1619200896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SMITHTOWN BYP",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875020",
            "telephone_number": "631-265-5501",
            "fax_number": "631-265-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 SMITHTOWN BYP",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875020",
            "telephone_number": "631-265-5501",
            "fax_number": "631-265-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATES OF LONG ISLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-06",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "KUGLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "631-265-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "154428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.