Individual provider Active NPI

Martin Wininger, M.D.

  • Dermatology Physician
  • Elmhurst, NY
National Provider Identifier
1306997648
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
094866 Issued in NY
Practice address
8037 Broadway
Elmhurst, NY 11373-3160
Phone
(718) 898-8600
Fax
(718) 898-8704
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 094866 NY Primary

Addresses

Primary practice location

8037 Broadway
Elmhurst, NY 11373-3160

Mailing address

8037 Broadway
Elmhurst, NY 11373-3160
Phone (718) 898-8600

Other identifiers 1

IdentifierTypeStateIssuer
00956336MedicaidNY

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
I20111019000534 NY Practitioner - Dermatology 7315119203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amb Medical Services PCGroup PAC ID 8820902315, 24 clinicians

Practice addresses (Care Compare)

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions46
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
094866NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amb Medical Services, P.C. CurrentSince Jul 1, 2013 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Lashinsky & Wininger M.D. Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

6655 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 497-1919

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1306997648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733160",
            "telephone_number": "718-898-8600",
            "fax_number": "718-898-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733160",
            "telephone_number": "718-898-8600",
            "fax_number": "718-898-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WININGER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "094866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00956336",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.