Individual provider Active NPI

Carolyn Paige Winik, M.S. EDUCATION

  • Specialist
  • Astoria, NY
National Provider Identifier
1124478177
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1031266161 Issued in NY
Practice address
4308 28TH Ave
Apt 22
Astoria, NY 11103-2153
Phone
(917) 881-9791
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1031226161 NY
Specialist 174400000X 1031266161 NY Primary
Specialist 174400000X 990064151 NY
Specialist 174400000X 990060151 NY

Addresses

Primary practice location

4308 28TH Ave
Apt 22
Astoria, NY 11103-2153

Mailing address

4308 28TH Ave
Apt 22
Astoria, NY 11103-2153
Phone (917) 881-9791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1031226161NYMDSpecialist
1031266161NYMDSpecialist
990060151NYMDSpecialist
990064151NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1124478177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 28TH AVE",
            "address_2": "APT 22",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032153",
            "telephone_number": "917-881-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 28TH AVE",
            "address_2": "APT 22",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032153",
            "telephone_number": "917-881-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIK",
        "first_name": "CAROLYN",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "M.S. EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1031226161",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1031266161",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "990064151",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "990060151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.