NPIMap

Organization Active NPI

Winthrop Community Medical Affiliates PC

  • Specialist
  • Deer Park, NY
National Provider Identifier
1376073825
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Doing business as
Suffolk Cardiovascular Consultants
Practice address
1920 Deer Park Ave Ste 104
Deer Park, NY 11729-3314
Phone
(631) 392-1680
NPI assigned
Jun 18, 2017
Organization subpart
Yes
Parent organization
WINTHROP COMMUNITY MEDICAL AFFILIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Authorized official

Name
Joseph Greco, MD
Title
Cmo
Phone
(516) 663-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1920 Deer Park Ave Ste 104
Deer Park, NY 11729-3314

Mailing address

700 Hicksville Rd Ste 204
Bethpage, NY 11714-3472

Other names 1

  • Suffolk Cardiovascular Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winthrop Community Medical Affiliates7 organizations share this tax ID, including this one
Part of
Winthrop Community Medical Affiliates

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1376073825",
    "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": "1920 DEER PARK AVE STE 104",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293314",
            "telephone_number": "631-392-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES PC",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "516-663-2216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Cardiovascular Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suffolk Cardiovascular Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.