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

Andrew Brent Ravin, DO

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1669001764

Andrew Brent Ravin, DO is an Endocrinology in Glendale, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

8040 Cooper Ave Ste 4202
Glendale, NY 11385-7726
Phone: (718) 887-3090
Fax: (718) 326-2656
Show map & directions

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

Additional practice locations (1)

  • 1945 State Route 33, Neptune, NJ 07753-4859 — (732) 775-5500

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 335488 (NY)

Record details

NPI number1669001764
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address11 Veronica Ct, Smithtown, NY 11787-1323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2020 (6 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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