Jesse Nmi Winick, B.S.,D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

021273 Issued in NY

Practice address

240 Rockaway Ave
Suite 2
Valley Stream, NY 11580-5828

Phone

(516) 825-1188

Fax

(516) 825-0939

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386850220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ROCKAWAY AVE",
            "address_2": "SUITE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805828",
            "telephone_number": "516-825-1188",
            "fax_number": "516-825-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ROCKAWAY AVE",
            "address_2": "SUITE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805828",
            "telephone_number": "516-825-1188",
            "fax_number": "516-825-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINICK",
        "first_name": "JESSE",
        "middle_name": "NMI",
        "name_prefix": "Dr.",
        "credential": "B.S.,D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "021273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Williams
• Jemma Wilson, R.N.
• Natalia Wiluk, RD
• Brenda B Wine-Cooks, LMSW
• Andrew B Winick, PSY.D.
• M. Denise Winter, LCSW
• Winthrop Community Medical Affiliates
• Winthrop Community Medical Affiliates, PC
• Sheila Wojciechowski
• Marissa Wong

• General Practice Dentistry in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• General Practice Dentistry in New York

• 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.