Winthrop Community Medical Affiliates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WINTHROP COMMUNITY MEDICAL AFFILIATES, PC

Doing business as

Riverhead Internal Medicine

Practice address

715 Roanoke Ave
Suite 3
Riverhead, NY 11901-2769

Phone

(631) 963-4770

Fax

(631) 963-4751

NPI assigned

Dec 23, 2015

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Ragno, MD

Title

Co-President

Phone

(516) 877-2629

Specialties & licenses 1

Addresses

Other names 1

• Riverhead Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1548625288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD",
            "address_2": "SUITE 204",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143471",
            "telephone_number": "516-576-5822",
            "fax_number": "516-576-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ROANOKE AVE",
            "address_2": "SUITE 3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012769",
            "telephone_number": "631-963-4770",
            "fax_number": "631-963-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "RAGNO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "516-877-2629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverhead Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Slaney Williams Jr., O.D.
• Mary Elizabeth Williams, R.N.
• Shauntelle Williams
• Jermaine Wilson
• Winthrop Community Medical Affiliates, PC (East End Endocrinology Associates)
• Winthrop Community Medical Affiliates, PC (East End Cardiology)
• Julie Anne Wisher, LMSW
• Emily Clarissa Woehr
• Erica Wolf, NP
• Garrick C Wong, PHARM.D.

• Internal Medicine Physician in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.