Organization Active NPI

Oyster Bay Pediatrics & Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Oyster Bay, NY
National Provider Identifier
1740319334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
205715 Issued in NY
Legal business name
OYSTER BAY PEDIATRICS & ADOLESCENT MEDICINE
Practice address
229 South St
Oyster Bay, NY 11771-2910
Phone
(516) 922-3131
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Greg Gulbransen, DONPI 1073511622
Title
President
Phone
(516) 922-3131

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 205715 NY Primary

Addresses

Primary practice location

229 South St
Oyster Bay, NY 11771-2910

Mailing address

229 South St
Oyster Bay, NY 11771-2910
Phone (516) 922-3131

National Provider Directory

National Provider Directory

Locations

229 South St
Oyster Bay, NY 11771
Phone (516) 922-3131

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740319334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712910",
            "telephone_number": "516-922-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 SOUTH ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712910",
            "telephone_number": "516-922-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OYSTER BAY PEDIATRICS & ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GULBRANSEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-922-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "205715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.