Eastbay Medical PC
NPI 1063272474 · Dermatology Physician · Bellmore, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastbay Medical PC is a Dermatology Physician organization in Bellmore, NY (NPI 1063272474).
Provider details
- NPI number
- 1063272474
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jordan Fabrikant, DO(516) 308-7070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2024-03-21
- Certified
- 2024-03-21
Frequently asked questions
- What is Eastbay Medical PC's NPI number?
- Eastbay Medical PC's National Provider Identifier (NPI) is 1063272474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastbay Medical PC?
- Eastbay Medical PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Eastbay Medical PC located?
- Eastbay Medical PC's practice location on file with NPPES is 2307 Bellmore Ave, Bellmore, NY 11710-5651.
- What is Eastbay Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Eastbay Medical PC is (516) 308-7070.
- Does Eastbay Medical PC accept Medicare?
- Eastbay Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastbay Medical PC?
- The authorized official listed on Eastbay Medical PC's NPPES record is Jordan Fabrikant, DO. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastbay Medical PC's NPI active?
- Yes — Eastbay Medical PC's NPI (1063272474) is active in the NPPES registry as of the last update on 2024-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.