PECONIC ENDOCRINOLOGY PC NPI 1396106860

NPI Information

  • NPI: 1396106860
  • Provider Name: PECONIC ENDOCRINOLOGY, PC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 234 HAMPTON RD
    SOUTHAMPTON, NY
    ZIP 11968
  • Phone: (631) 369-8539

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NPI Details

PECONIC ENDOCRINOLOGY, PC is an endocrinology and diabetes and metabolism internal medicine in Southampton, 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. PECONIC ENDOCRINOLOGY, PC NPI is 1396106860. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

234 HAMPTON RD
SOUTHAMPTON, NY
ZIP 11968-028
Phone: (631) 369-8539
Fax: (631) 369-5613

The provider's authorized official is Barbara Gredysa .
The authorized official title is President and has the following contact phone number (631) 369-8539.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 3/11/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism280046NEW 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: 11/21/2025

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