Individual provider Active NPI

Nathaniel Winer, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1245225598
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
084401-1 Issued in NY
Practice address
450 Clarkson Ave
Suite a
Brooklyn, NY 11203-2056
Phone
(718) 270-6324
Fax
(718) 270-2699
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 084401-1 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
Suite a
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave
Box 1205
Brooklyn, NY 11203-2056
Phone (718) 270-6320

Other identifiers 1

IdentifierTypeStateIssuer
02138943MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwiner934709@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000320 NY Practitioner - Endocrinology 1052413671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
084401-1NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. CurrentSince May 1, 1996 Accepting new patients
University Physicians of Brooklyn, Inc. Family Medicine Current Accepting new patients
University Physicians of Brooklyn, Inc. Endocrinology, Diabetes & Metabolism CurrentSince May 1, 1996 Accepting new patients

Locations

450 Clarkson Ave
Ste A
Brooklyn, NY 11203
Phone (718) 270-1432

450 Clarkson Ave
#1205
Brooklyn, NY 11203
Phone (718) 270-1698

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

Interoperability endpoints

  • Direct secure messaging: nwiner934709@wm.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1245225598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1205",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-6320",
            "fax_number": "718-270-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-6324",
            "fax_number": "718-270-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINER",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "084401-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02138943",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwiner934709@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1330 Rockefeller Ave Ste 210",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.