Provider Type Icon

ENDO-METABOLIC PRACTICE PLLC NPI 1457587529


NPI Information

NPI: 1457587529
Provider Name: ENDO-METABOLIC PRACTICE PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
47 LITTLE CLOVE RD
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 273-5522
Get Directions

ENDO-METABOLIC PRACTICE PLLC is an endocrinology and diabetes and metabolism internal medicine in Staten Island, NY. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDO-METABOLIC PRACTICE PLLC NPI is 1457587529. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

47 LITTLE CLOVE RD
STATEN ISLAND, NY
ZIP 10301-306
Phone: (718) 273-5522
Fax: (718) 273-6522

The provider's authorized official is Seshadri Das .
The authorized official title is Owner/president and has the following contact phone number (718) 273-5522.

The enumeration date for this NPI number is 6/3/2009 and was last updated on 6/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism1578461NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120D2810MEDICARE PINNEW YORK
2C00698MEDICARE UPINNEW YORK
300846199MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.