Active NPI
Atlantic Comprehensive Medical PC
- Endocrinology, Diabetes & Metabolism Physician
- Rego Park, NY
National Provider Identifier
1619838703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ATLANTIC COMPREHENSIVE MEDICAL PC
- Practice address
- 9725 63Rd Dr FL 2
Rego Park, NY 11374-2229 - Phone
- (718) 275-2900
- Fax
- (718) 275-2944
- NPI assigned
- Nov 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Ilyayeva
- Title
- MD
- Phone
- (718) 275-2900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
9725 63Rd Dr FL 2
Rego Park, NY 11374-2229
Mailing address
9725 63Rd Dr FL 2
Rego Park, NY 11374-2229
Phone (718) 275-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9725 63rd Dr
Fl 2
Rego Park, NY 11374
Phone (718) 275-2900
9725 63rd Dr
Rego Park, NY 11374
Phone (718) 271-8185
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Rego Park, NY
- NPI 1619082625
-
- Cardiovascular Disease Physician
- Valley Stream, NY
- NPI 1699700351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1619838703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 63RD DR FL 2",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742229",
"telephone_number": "718-275-2900",
"fax_number": "718-275-2944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 63RD DR FL 2",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742229",
"telephone_number": "718-275-2900",
"fax_number": "718-275-2944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC COMPREHENSIVE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-19",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "ILYAYEVA",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-275-2900"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.