Organization Active NPI

New York Specialty Physicians, LLP

  • Allergy & Immunology Physician
  • Manhasset, NY
National Provider Identifier
1396842522
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
206320 Issued in NY
Legal business name
NEW YORK SPECIALTY PHYSICIANS, LLP
Practice address
125 Plandome Rd
Manhasset, NY 11030-2331
Phone
(516) 570-0528
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Monika Isabela Woroniecka, M.D.
Title
Partner
Phone
(516) 570-0528

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 206320 NY Primary
Pediatric Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0210X 205912 NY

Addresses

Primary practice location

125 Plandome Rd
Manhasset, NY 11030-2331

Mailing address

25 Gilchrest Rd
Great Neck, NY 11021-1404
Phone (516) 570-0528

Other identifiers 3

IdentifierTypeStateIssuer
5N5751OtherNYMEDICARE NUMBER
01711802MedicaidNY
01711811MedicaidNY

National Provider Directory

National Provider Directory

Locations

125 Plandome Rd
Manhasset, NY 11030
Phone (516) 570-0528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1396842522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GILCHREST RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211404",
            "telephone_number": "516-570-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PLANDOME RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302331",
            "telephone_number": "516-570-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK SPECIALTY PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "WORONIECKA",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "ISABELA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-570-0528",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "206320",
            "primary": true
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "205912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "5N5751",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01711802",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01711811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.