Individual provider Active NPI

Mark Winsberg, MD

  • Addiction Medicine (Family Medicine) Physician
  • Rochester, NY
National Provider Identifier
1497769764
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
187489 Issued in NY
Practice address
1565 Long Pond Rd
Unity Park Ridge Chemical Dependency
Rochester, NY 14626-4122
Phone
(585) 723-7350
Fax
(585) 723-7353
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 187489 NY
Family Medicine Physician 207Q00000X 187489 NY
Addiction Medicine (Family Medicine) Physician 207QA0401X 187489 NY Primary

Addresses

Primary practice location

1565 Long Pond Rd
Unity Park Ridge Chemical Dependency
Rochester, NY 14626-4122

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other identifiers 1

IdentifierTypeStateIssuer
02509373MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwinsberg194283@direct.rochesterregional.org

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
I20060419000116 NY Practitioner - Family PracticePractitioner - Emergency Medicine 1153376827 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Oct 27, 2014 Accepting new patients
Behavioral Health Network, Inc. CurrentSince Sep 5, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 27, 2014 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Sep 5, 2018 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Sep 5, 2018 Accepting new patients
Rochester General Hospital CurrentSince Sep 5, 2018 Accepting new patients
Immediate Care East Walk-in Medical Treatment, PLLC PastSince May 1, 2007 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1565 Long Pond Rd
Rochester, NY 14626
Phone (585) 723-7723

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1600 Moseley Rd
Ste 300
Victor, NY 14564
Phone (585) 340-7287

Organizations & group practices 7

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1497769764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LONG POND RD",
            "address_2": "UNITY PARK RIDGE CHEMICAL DEPENDENCY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-723-7350",
            "fax_number": "585-723-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSBERG",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "187489",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "187489",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "187489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02509373",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwinsberg194283@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1565 Long Pond Rd",
            "address_2": "Unity Park Ridge Chemical Dependency",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.