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ANDREW BRENT RAVIN DO
NPI 1669001764
Internal Medicine - Endocrinology, Diabetes & Metabolism in Glendale, NY

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
8040 COOPER AVE STE 4202, GLENDALE, NY 11385(718) 887-3090(718) 326-2656 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2025, Apr 2, 2020 (2 updates tracked since 2020).

About Andrew Brent Ravin Do NPPES

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

ANDREW BRENT RAVIN DO (NPI 1669001764) is an individual endocrinology, diabetes & metabolism provider in Glendale, New York, licensed in New York (335488) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Neptune, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2020).

NPPES Registry Identity

NPI1669001764
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameANDREW BRENT RAVINCredential: DO
Location Address8040 COOPER AVE STE 4202Glendale, NY 11385-7726
Mailing Address11 Veronica CtSmithtown, NY 11787-1323 · (631) 682-4880
Phone(718) 887-3090
Fax(718) 326-2656
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1669001764 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 · 335488
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.
8040 COOPER AVE STE 4202, Glendale, NY 11385
Open in Google Maps ↗

Secondary Practice Location 1

Location 11945 State Route 33Neptune, NJ 07753-4859 · Phone (732) 775-5500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Brent Ravin Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355867458
PECOS Enrollment IDI20250501002511
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Ravin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
8.8 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrew Ravin's NPI number?

The NPI number for Andrew Ravin is 1669001764. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Andrew Ravin located?

Andrew Ravin practices at 8040 Cooper Ave Ste 4202, Glendale, NY 11385. The listed phone number is (718) 887-3090.

What is Andrew Ravin's specialty?

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

Is Andrew Ravin enrolled in Medicare?

Yes. Andrew Ravin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Ravin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Ravin reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The 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 Andrew Ravin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Ravin was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.