Active NPI
Winthrop Community Medical Affiliates, PC
- Endocrinology, Diabetes & Metabolism Physician
- Riverhead, NY
National Provider Identifier
1013455773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- WINTHROP COMMUNITY MEDICAL AFFILIATES, PC
- Practice address
- 189 Main Rd
Suite F
Riverhead, NY 11901-1957 - Phone
- (631) 288-7120
- NPI assigned
- Feb 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Adler
- Title
- Co-President
- Phone
- (516) 663-3849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
189 Main Rd
Suite F
Riverhead, NY 11901-1957
Mailing address
700 Hicksville Rd
Suite 204
Bethpage, NY 11714-3471
Phone (516) 576-5842
Other names 1
- East End Endocrinology Associates
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0965355 | Winthrop Community Medical Affiliates PC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485993600000",
"number": "1013455773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HICKSVILLE RD",
"address_2": "SUITE 204",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143471",
"telephone_number": "516-576-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 MAIN RD",
"address_2": "SUITE F",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011957",
"telephone_number": "631-288-7120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A",
"authorized_official_last_name": "ADLER",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "516-663-3849",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East End Endocrinology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.