ATLANTIC COMPREHENSIVE MEDICAL PC NPI 1619838703

NPI Information

  • NPI: 1619838703
  • Provider Name: ATLANTIC COMPREHENSIVE MEDICAL PC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 9725 63RD DR
    REGO PARK, NY
    ZIP 11374
  • Phone: (718) 275-2900

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NPI Details

ATLANTIC COMPREHENSIVE MEDICAL PC is an endocrinology and diabetes and metabolism internal medicine in Rego Park, 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. ATLANTIC COMPREHENSIVE MEDICAL PC NPI is 1619838703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9725 63RD DR
REGO PARK, NY
ZIP 11374-229
Phone: (718) 275-2900
Fax: (718) 275-2944

The provider's authorized official is Stella Ilyayeva .
The authorized official title is Md and has the following contact phone number (718) 275-2900.

The enumeration date for this NPI number is 11/19/2025 and was last updated on 11/19/2025.

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 & MetabolismYes

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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