Active NPI
North Nassau Endocrinology and Diabetes PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 203765
- Legal business name
- NORTH NASSAU ENDOCRINOLOGY AND DIABETES PLLC
- Practice address
- 1000 Northern Blvd
Suite 240
Great Neck, NY 11021-5312 - Phone
- (516) 829-0802
- Fax
- (516) 487-9433
- NPI assigned
- Jan 29, 2007
- 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
- Dr. Jonathan Kaplan, M.D.
- Title
- Ceo, President
- Phone
- (516) 829-0802
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 | 203765 | NY | Primary |
Addresses
Primary practice location
1000 Northern Blvd
Suite 240
Great Neck, NY 11021-5312
Mailing address
1000 Northern Blvd
Suite 240
Great Neck, NY 11021-5312
Phone (516) 829-0802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01875938 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1065817 | North Nassau Endocrinology | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
1000 Northern Blvd
Ste 112
Great Neck, NY 11021
Phone (516) 829-0802
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Great Neck, NY
- NPI 1285713487
-
- Pediatrics Physician
- Great Neck, NY
- NPI 1588740336
-
- Neurology Physician
- Lake Success, NY
- NPI 1215963137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710033931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD",
"address_2": "SUITE 240",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215312",
"telephone_number": "516-829-0802",
"fax_number": "516-487-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD",
"address_2": "SUITE 240",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215312",
"telephone_number": "516-829-0802",
"fax_number": "516-487-9433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH NASSAU ENDOCRINOLOGY AND DIABETES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAPLAN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CEO, PRESIDENT",
"authorized_official_telephone_number": "516-829-0802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "203765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01875938",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
- Philip Mohan Ninan, M.D.
- Sharon Nitzberg, MACCC-SLP
- Terri Ann Norden, M.D.
- Norhern Boulevard Neurological Surgery, P.C.
- North Nassau Acupuncture
- North Shore - Lij Radiology Services, PC
- North Shore Cardiology & Internal Medicine Associates PC
- North Shore Chemists LLC
- North Shore Creative Rehabilitation Center, Inc.
- North Shore Hematology Oncology Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.