Organization Active NPI

North Fork Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Riverhead, NY
National Provider Identifier
1790845097
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
204491 Issued in NY
Legal business name
NORTH FORK ENDOCRINOLOGY PC
Practice address
1149 Old Country Rd
Suite C1
Riverhead, NY 11901-2057
Phone
(631) 369-3333
Fax
(631) 369-9568
NPI assigned
Dec 10, 2006
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Naim Abrar, M.D.NPI 1790702355
Title
President
Phone
(631) 369-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 204491 NY Primary

Addresses

Primary practice location

1149 Old Country Rd
Suite C1
Riverhead, NY 11901-2057

Mailing address

1149 Old Country Rd
Suite 1C
Riverhead, NY 11901-2057
Phone (631) 369-3333

National Provider Directory

National Provider Directory

Locations

1149 Old Country Rd
Ste C1
Riverhead, NY 11901
Phone (516) 369-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1790845097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 OLD COUNTRY RD",
            "address_2": "SUITE 1C",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012057",
            "telephone_number": "631-369-3333",
            "fax_number": "631-369-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 OLD COUNTRY RD",
            "address_2": "SUITE C1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012057",
            "telephone_number": "631-369-3333",
            "fax_number": "631-369-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "ABRAR",
        "authorized_official_first_name": "NAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-369-3333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "204491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.