Organization Active NPI

Winthrop Community Medical Affiliates, PC

  • Internal Medicine Physician
  • North Babylon, NY
National Provider Identifier
1619334877
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WINTHROP COMMUNITY MEDICAL AFFILIATES, PC
Practice address
1350 Deer Park Ave
Suite 4
North Babylon, NY 11703-1619
Phone
(631) 422-3200
Fax
(631) 422-6597
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1350 Deer Park Ave
Suite 4
North Babylon, NY 11703-1619

Mailing address

700 Hicksville Rd
Suite 204
Bethpage, NY 11714-3471
Phone (516) 576-5881

Other names 1

  • Winthrop Medical Affiliates at North Babylon Doing business as

National Provider Directory

National Provider Directory

Locations

1350 Deer Park Ave
Ste 4
North Babylon, NY 11703
Phone (631) 254-4480

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1619334877",
    "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": "516-576-5881",
            "fax_number": "516-576-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DEER PARK AVE",
            "address_2": "SUITE 4",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031619",
            "telephone_number": "631-422-3200",
            "fax_number": "631-422-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-20",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winthrop Medical Affiliates at North Babylon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.