Individual provider Active NPI

Clifford Joel Bryer, M.D.

  • Pediatrics Physician
  • Hewlett, NY
National Provider Identifier
1679570907
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1453741 Issued in NY
Practice address
1575 Broadway
Hewlett, NY 11557-1428
Phone
(516) 374-0555
Fax
(516) 374-7639
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1453741NYMDPediatrics Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1453741 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1575 Broadway
Hewlett, NY 11557-1428

Mailing address

1575 Broadway
Hewlett, NY 11557-1428
Phone (516) 374-0555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679570907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571428",
            "telephone_number": "516-374-0555",
            "fax_number": "516-374-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571428",
            "telephone_number": "516-374-0555",
            "fax_number": "516-374-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYER",
        "first_name": "CLIFFORD",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "1453741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.