Active NPI
Winthrop University Hospital Emergency Room Physicians
- Emergency Medicine Physician
- Mineola, NY
National Provider Identifier
1093752628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29080008
- Legal business name
- WINTHROP UNIVERSITY HOSPITAL EMERGENCY ROOM PHYSICIANS
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-2727
- Fax
- (516) 663-8549
- NPI assigned
- Jun 1, 2006
- 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
- Mr. John F. Collins, CPA
- Title
- Cfo
- Phone
- (516) 663-2311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29080008 | NY | Primary |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
700 Hicksville Rd
Suite 204
Bethpage, NY 11714-3471
Phone (516) 576-5812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02288228 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093752628",
"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": "516-576-5812",
"fax_number": "516-576-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-2727",
"fax_number": "516-663-8549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTHROP UNIVERSITY HOSPITAL EMERGENCY ROOM PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "516-663-2311",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NY",
"license": "29080008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02288228",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
- Winthrop University Hospital
- Winthrop University Hospital Association
- Winthrop University Hospital Association
- Winthrop University Hospital Eeg
- Winthrop University Hospital Ekg
- Winthrop University Hospital PA/NP Services
- Winthrop-University Hospital (Winthrop Pathology Associates)
- Winthrop-University Hospital Pharmacy Dept
- Richard R Winwood, RPA-C
- Anne-Marie Wise
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.