Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Endocrinology and Diabetes PC

Organization Allergy & Immunology Physician · NPI 1407059199

Atlantic Endocrinology and Diabetes PC is an Allergy & Immunology Physician in Rego Park, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
8
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9725 63rd Dr
Rego Park, NY 11374-2229
Phone: (718) 275-2900
Fax: (718) 275-2944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Allergy & Immunology Physician Taxonomy 207K00000X
Family Medicine Physician Taxonomy 207Q00000X
Nephrology Physician Taxonomy 207RN0300X
Neurology Physician Taxonomy 2084N0400X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Podiatrist Taxonomy 213E00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1407059199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Ilyayeva — Md · (718) 275-2900
NPI enumeratedJune 8, 2007
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address9725 63rd Dr, Rego Park, NY 11374-2229

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