Individual provider Active NPI

Stuart Winzelberg, RPH

  • Pharmacist
  • Staten Island, NY
National Provider Identifier
1265443329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032831 Issued in NY
Practice address
191 Ardmore Ave
Staten Island, NY 10314-4323
Phone
(718) 494-8919
Fax
(212) 712-0918
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032831 NY Primary

Addresses

Primary practice location

191 Ardmore Ave
Staten Island, NY 10314-4323

Mailing address

191 Ardmore Ave
Staten Island, NY 10314-4323
Phone (718) 494-8919

Other identifiers 1

IdentifierTypeStateIssuer
01315879MedicaidNY

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Lisa Inc. Pharmacist Current Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265443329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ARDMORE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144323",
            "telephone_number": "718-494-8919",
            "fax_number": "212-712-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ARDMORE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144323",
            "telephone_number": "718-494-8919",
            "fax_number": "212-712-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINZELBERG",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01315879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.