OYSTER BAY PEDIATRICS & ADOLESCENT MEDICINE
NPI 1740319334
Pediatrics - Adolescent Medicine in Oyster Bay, NY

Active since March 02, 2007CLIA 33D0158446 · Waiver
229 SOUTH ST, OYSTER BAY, NY 11771(516) 922-3131 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oyster Bay Pediatrics & Adolescent Medicine NPPES

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

OYSTER BAY PEDIATRICS & ADOLESCENT MEDICINE (NPI 1740319334) is a healthcare organization registered as an adolescent medicine in Oyster Bay, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Greg Gulbransen, President, as its authorized official.

NPPES Registry Identity

NPI1740319334
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameOYSTER BAY PEDIATRICS & ADOLESCENT MEDICINE
Location Address229 SOUTH STOyster Bay, NY 11771-2910
Mailing Address229 South StOyster Bay, NY 11771-2910 · (516) 922-3131
Organization SubpartNo
Authorized OfficialGreg GulbransenPresident · (516) 922-3131
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1740319334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NY · 205715
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
229 SOUTH ST, Oyster Bay, NY 11771

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

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 33D0158446

Oyster Bay Pediatrics And Adolescent Medicine · Oyster Bay, NY
Active · expires Feb 6, 2027
CLIA Number33D0158446
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorDr. Greg Gulbransen
Laboratory Phone(516) 922-3131
Laboratory LocationOyster Bay Pediatrics And Adolescent Medicine229 South Street, Oyster Bay, NY 11771
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
229 SOUTH ST
OYSTER BAY, NY 11771
Pediatrics
229 SOUTH ST
OYSTER BAY, NY 11771

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 Oyster Bay Pediatrics & Adolescent Medicine's NPI number?

The NPI number for Oyster Bay Pediatrics & Adolescent Medicine is 1740319334. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Oyster Bay Pediatrics & Adolescent Medicine located?

Oyster Bay Pediatrics & Adolescent Medicine is located at 229 South St, Oyster Bay, NY 11771. The listed phone number is (516) 922-3131.

What is Oyster Bay Pediatrics & Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Oyster Bay Pediatrics & Adolescent Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0158446) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oyster Bay Pediatrics & Adolescent Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.