Winthrop Community Medical Affiliates PC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Practice address

101 Mineola Blvd Ste 210
Mineola, NY 11501-4089

Phone

(516) 663-3511

NPI assigned

Jun 15, 2018

Organization subpart

No

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

Authorized official

Name

Brian Sadowsky

Title

Credentialing Manager

Phone

(516) 663-8919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NYU Winthrop Diabetes Self-Management Program Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Winthrop Community Medical Affiliates7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Winthrop Community Medical Affiliates PC

  • Specialist
  • Deer Park, NY
  • NPI 1376073825
  NPD tax ID
• Winthrop Community Medical Affiliates PC

  • Cardiovascular Disease Physician
  • Garden City, NY
  • NPI 1861912503
  NPD tax ID
• Winthrop Community Medical Affiliates, P.C.

  • Pediatrics Physician
  • Garden City, NY
  • NPI 1437517232
  NPD tax ID
• Winthrop Community Medical Affiliates, P.C.

  • Obstetrics & Gynecology Physician
  • Mineola, NY
  • NPI 1487691481
  NPD tax ID
• Winthrop Community Medical Affiliates, P.C.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Mineola, NY
  • NPI 1689728107
  NPD tax ID
• Winthrop Community Medical Affiliates, P.C.

  • Pediatrics Physician
  • Mineola, NY
  • NPI 1952325367
  NPD tax ID

Locations

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1245724152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD STE 204",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MINEOLA BLVD STE 210",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014089",
            "telephone_number": "516-663-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "SADOWSKY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "516-663-8919"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04867401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYU Winthrop Diabetes Self-Management Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NYU Winthrop Diabetes Self-Management Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Gail Wilson, NP
• Michaela Cecilia Winkeler, MD
• Cynthia Hope Winkler, P.A.
• Winthrop Cardiology Associates P C
• Winthrop Cardiovascular & Thoracic Surgery, PC
• Winthrop Community Medical Affiliates PC
• Winthrop Community Medical Affiliates, P.C.
• Winthrop Community Medical Affiliates, P.C.
• Winthrop Community Medical Affiliates, P.C.
• Winthrop Community Medical Affiliates, P.C.

• Health Educator in Mineola, NY
• Providers in Mineola, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.