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EAST SIDE ENDOCRINE PLLC
NPI 1932968641
Internal Medicine - Endocrinology, Diabetes & Metabolism in New York, NY

Active since March 15, 2024
103 E 75TH ST, NEW YORK, NY 10021(212) 772-7628 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Side Endocrine Pllc NPPES

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

EAST SIDE ENDOCRINE PLLC (NPI 1932968641) is a healthcare organization registered as an endocrinology, diabetes & metabolism in New York, New York and active in the NPI registry since March 2024. The organization lists Clifton Jackness, Owner, as its authorized official.

NPPES Registry Identity

NPI1932968641
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameEAST SIDE ENDOCRINE PLLC
Location Address103 E 75TH STNew York, NY 10021-2805
Mailing Address103 E 75th StNew York, NY 10021-2805 · (212) 772-7628
Phone(212) 772-7628
Organization SubpartNo
Authorized OfficialClifton JacknessOwner · (212) 772-7628
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1932968641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
103 E 75TH ST, New York, NY 10021
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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

Other Providers at the Same Location NPPES 7

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

DR. DENNIS GAGE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 E 75TH ST, APT 1FE
NEW YORK, NY 10021
New York County (212) 772-7628
SHIRA B EYTAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 E 75TH ST
NEW YORK, NY 10021
New York County (212) 772-7628
DR. CLIFTON JACKNESS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 E 75TH ST
NEW YORK, NY 10021
New York County (212) 772-7628
DENNIS GAGE MD PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 E 75TH ST
NEW YORK, NY 10021
New York County (212) 772-7628
DR. ROBERT MARC MELTZER
Internal Medicine (Gastroenterology)
103 E 75TH ST, GROUND FLOOR
NEW YORK, NY 10021
New York County (212) 879-4456
DR. GILLIAN M GODDARD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 E 75TH ST
NEW YORK, NY 10021
New York County (212) 772-7628
PARK AVENUE ENDOCRINOLOGY & NUTRITION PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 E 75TH ST
NEW YORK, NY 10021
New York County (212) 772-7628

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 East Side Endocrine PLLC's NPI number?

The NPI number for East Side Endocrine PLLC is 1932968641. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is East Side Endocrine PLLC located?

East Side Endocrine PLLC is located at 103 E 75th St, New York, NY 10021. The listed phone number is (212) 772-7628.

What is East Side Endocrine PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for East Side Endocrine PLLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.