ATLANTIC ENDOCRINOLOGY AND DIABETES PC
NPI 1407059199
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rego Park, NY

Active since June 08, 2007
9725 63RD DR, REGO PARK, NY 11374(718) 275-2900(718) 275-2944 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 23, 2026, Aug 30, 2023, Oct 19, 2018 (3 updates tracked since 2018).

About Atlantic Endocrinology And Diabetes Pc NPPES

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

ATLANTIC ENDOCRINOLOGY AND DIABETES PC (NPI 1407059199) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Rego Park, New York and active in the NPI registry since June 2007. The organization lists Stella Ilyayeva, Md, as its authorized official.

NPPES Registry Identity

NPI1407059199
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameATLANTIC ENDOCRINOLOGY AND DIABETES PC
Location Address9725 63RD DRRego Park, NY 11374-2229
Mailing Address9725 63rd DrRego Park, NY 11374-2229 · (718) 275-2900 · Fax (718) 275-2944
Fax(718) 275-2944
Organization SubpartNo
Authorized OfficialStella IlyayevaMd · (718) 275-2900
Enumeration DateJune 8, 2007
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1407059199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPhysical TherapistTaxonomy 225100000X
9725 63RD DR, Rego Park, NY 11374

Other Identifiers 2

Medicaid02148396NY
Medicaid03436793NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Atlantic Endocrinology And Diabetes PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner3
Allergy/Immunology1
Family Practice1
Internal Medicine1
Neurology1
Physical Therapist in Private Practice1
Podiatry1
Thoracic Surgery1

Clinicians, nearest first (10)

Internal Medicine
NPI 1619082625
9725 63RD DR
Rego Park, NY 11374
(718) 275-2900
✔ PECOSSame address
Family Practice
NPI 1689660854
9732 63RD RD
Rego Park, NY 11374
(718) 275-2698
✔ PECOSSame address
Neurology
NPI 1679671333
5814 JUNCTION BLVD F4
Elmhurst, NY 11373
(718) 271-8185
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1164130498
8515 MAIN ST
Briarwood, NY 11435
(718) 523-7188
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1598507741
15330 78TH AVE
Flushing, NY 11367
(917) 903-3055
✔ PECOS2.7 mi
Allergy/Immunology
NPI 1033442058
760 BROADWAY
Brooklyn, NY 11206
(718) 963-7956
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1891339867
1275 YORK AVE
New York, NY 10065
(917) 407-3388
✔ PECOS✔ Accepts Medicare5.5 mi
Physical Therapist in Private Practice
NPI 1003369505
353 OCEAN AVE APT PROF1
Brooklyn, NY 11226
(718) 940-2100
7.5 mi
Podiatry
NPI 1518988021
2146 BEVERLEY RD
Brooklyn, NY 11226
(718) 210-3296
✔ PECOS7.9 mi
Thoracic Surgery
NPI 1023002060
474 OVINGTON AVE
Brooklyn, NY 11209
(718) 946-4500
✔ PECOS✔ Accepts Medicare11 mi

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

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 Atlantic Endocrinology And Diabetes PC's NPI number?

The NPI number for Atlantic Endocrinology And Diabetes PC is 1407059199. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Atlantic Endocrinology And Diabetes PC located?

Atlantic Endocrinology And Diabetes PC is located at 9725 63rd Dr, Rego Park, NY 11374. The listed phone number is (718) 275-2900.

What is Atlantic Endocrinology And Diabetes PC's specialty?

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

Is Atlantic Endocrinology And Diabetes PC enrolled in Medicare?

Yes. Atlantic Endocrinology And Diabetes PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Endocrinology And Diabetes PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 8 Medicare specialties reassign their Medicare billing to Atlantic Endocrinology And Diabetes 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. The largest specialties are Nurse Practitioner (3), Allergy/Immunology (1) and Family Practice (1). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlantic Endocrinology And Diabetes PC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.