Long Island Diabetes & Endocrinology Associates, LLP

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

LONG ISLAND DIABETES & ENDOCRINOLOGY ASSOCIATES, LLP

Practice address

421 Deer Park Ave
Babylon, NY 11702

Phone

(631) 941-1000

NPI assigned

Sep 6, 2005

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara O'Brien

Title

Office Administrator

Phone

(631) 941-1000

Specialties & licenses 1

Addresses

Other names 1

• Long Island Diabetes & Endocrinology, PC Other name

Locations

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.

• Justin Grady Matrisciano, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Dartmouth, MA
  • NPI 1922093210
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1962496968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD",
            "address_2": "SUITE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-941-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-941-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND DIABETES & ENDOCRINOLOGY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-941-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Diabetes & Endocrinology, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Warren D. Lobo, M.D.
• Cathy S Loewenstein, MSLSP TSHH
• Christina Lombardi, MS, RD
• Alexander London, M.D.
• Long Island Cardiovascular Medical Associates
• Long Island Diabetes & Endocrinology, PC
• Denise Long, OTR/L
• Stephanie Iris Lopes, MS, CCC, SLP
• Mary Lopiano, MA
• Amanda Catherine Lora

• Endocrinology, Diabetes & Metabolism Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.