Organization Active NPI

Winthrop Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Garden City, NY
National Provider Identifier
1063642254
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
208VP0000X Issued in NY
Legal business name
WINTHROP PAIN MANAGEMENT
Practice address
1300 Franklin Ave
2ND Floor 3a
Garden City, NY 11530-1886
Phone
(516) 741-0570
Fax
(516) 741-8276
NPI assigned
Jul 22, 2009
Organization subpart
Yes
Parent organization
NASSAU ANESTHESIA ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Kondas
Title
Officer
Phone
(954) 838-2371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 208VP0000X NY Primary

Addresses

Primary practice location

1300 Franklin Ave
2ND Floor 3a
Garden City, NY 11530-1886

Mailing address

216 1St Street
Mineola, NY 11501
Phone (954) 838-2371

National Provider Directory

National Provider Directory
Tax ID family
Patricia D Tafuro MD2 organizations share this tax ID, including this one
Part of
Patricia D Tafuro MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1063642254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 1ST STREET",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "954-838-2371",
            "fax_number": "516-741-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "address_2": "2ND FLOOR 3A",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301886",
            "telephone_number": "516-741-0570",
            "fax_number": "516-741-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASSAU ANESTHESIA ASSOCIATES, P.C.",
        "enumeration_date": "2009-07-22",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-838-2371"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "208VP0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.