Organization Active NPI

Newkirk Avenue Office Based Surgical, PLLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1184987588
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4342 Issued in NY
Legal business name
NEWKIRK AVENUE OFFICE BASED SURGICAL, PLLC
Practice address
603 Rugby Rd
Brooklyn, NY 11230-1581
Phone
(718) 759-6100
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. Raz Winiarsky, MD
Title
Medical Director
Phone
(718) 759-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 4342 NY Primary

Addresses

Primary practice location

603 Rugby Rd
Brooklyn, NY 11230-1581

Mailing address

1414 Newkirk Ave
Brooklyn, NY 11226-6522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1184987588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 NEWKIRK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301581",
            "telephone_number": "718-759-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWKIRK AVENUE OFFICE BASED SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "WINIARSKY",
        "authorized_official_first_name": "RAZ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-759-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "4342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.