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DR. PHILIP EDWARD OTTERBECK M.D. NPI 1831386424


NPI Information

NPI: 1831386424
Provider Name: DR. PHILIP EDWARD OTTERBECK, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
1366 VICTORY BLVD
SUITE A
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 727-1366
Get Directions

DR. Philip Edward Otterbeck, M.D. is an endocrinology and diabetes and metabolism internal medicine in Staten Island, NY with 18 years of experience. 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. DR. Philip Edward Otterbeck, M.D. NPI is 1831386424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1366 VICTORY BLVD
SUITE A
STATEN ISLAND, NY
ZIP 10301-907
Phone: (718) 727-1366
Fax: (718) 727-5041

The NPI 1831386424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound of head and neck (HCPCS:76536)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 9/27/2007 and was last updated on 11/28/2012.


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 & Metabolism252426NEW YORKYes

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.