SYOSSET ENDOCRINOLOGY PC
NPI 1093076606
Internal Medicine - Endocrinology, Diabetes & Metabolism in Syosset, NY

Active since May 31, 2012CLIA 33D2345032 · Waiver
175 JERICHO TPKE, SUITE 204, SYOSSET, NY 11791(631) 271-9151 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Syosset Endocrinology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYOSSET ENDOCRINOLOGY PC (NPI 1093076606) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Syosset, New York and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Alla Khalfin, Owner, as its authorized official.

NPPES Registry Identity

NPI1093076606
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameSYOSSET ENDOCRINOLOGY PC
Location Address175 JERICHO TPKE, SUITE 204Syosset, NY 11791-4532
Mailing Address175 Jericho Tpke Ste 201Syosset, NY 11791-4538 · (631) 271-9151
Organization SubpartNo
Authorized OfficialAlla KhalfinOwner · (631) 271-9151
Enumeration DateMay 31, 2012
Last NPPES UpdateOctober 8, 2019
✔ NPI 1093076606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 239938
Definition
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.
175 JERICHO TPKE, Syosset, NY 11791

Other Identifiers 1

Other239938NY · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Syosset Endocrinology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120619000158Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Syosset Endocrinology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1528259843
175 JERICHO TURNPIKE
Syosset, NY 11791
(516) 802-4884
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2345032

Syosset Endocrinology PC · Syosset, NY
Active · expires Jun 3, 2028
CLIA Number33D2345032
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorAlla Khalfin
Laboratory Phone(516) 802-4884
Laboratory LocationSyosset Endocrinology PC175 Jericho Turnpike Suite 201, Syosset, NY 11791
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Syosset Endocrinology PC's NPI number?

The NPI number for Syosset Endocrinology PC is 1093076606. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Syosset Endocrinology PC located?

Syosset Endocrinology PC is located at 175 Jericho Tpke Suite 204, Syosset, NY 11791. The listed phone number is (631) 271-9151.

What is Syosset Endocrinology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Syosset Endocrinology PC enrolled in Medicare?

Yes. Syosset Endocrinology PC is registered in the Medicare PECOS enrollment system.

When is Syosset Endocrinology PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Syosset Endocrinology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Syosset Endocrinology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Syosset Endocrinology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2345032) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Syosset Endocrinology PC was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.