New Windsor Family Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEW WINDSOR FAMILY CARE LLC

Practice address

377 Broadway
Newburgh, NY 12550-5301

Phone

(845) 562-2191

NPI assigned

Aug 30, 2022

Last updated

Jan 23, 2023By 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

Minoo Pedeom-Shapiro, MD

Title

Authorized Official

Phone

(845) 562-2191

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charissa Patricia Lewis, MD

  • Sports Medicine (Internal Medicine) Physician
  • New Windsor, NY
  • NPI 1316528037
  Medicare reassignment Care Compare group NPD
• Jamer Alexander Linares, LCSW

  • Clinical Social Worker
  • West Nyack, NY
  • NPI 1427654953
  Medicare reassignment Care Compare group NPD
• Ariel Yehdua Pedoeem, DO

  • General Practice Physician
  • New Windsor, NY
  • NPI 1316441967
  Medicare reassignment Care Compare group NPD
• Sarah Susan Helgeson, O.D.

  • Optometrist
  • Montgomery, NY
  • NPI 1841487238
  Medicare reassignment Care Compare group
• Minoo Pedoem-Shapiro, MD

  • Pediatrics Physician
  • New Windsor, NY
  • NPI 1780678136
  Medicare reassignment NPD
• Jennifer Pinos, RDN

  • Registered Dietitian
  • New Windsor, NY
  • NPI 1144107236
  Medicare reassignment NPD
• Christine Vega-Ruscher, R.D., CDN

  • Registered Dietitian
  • Washingtonville, NY
  • NPI 1427452267
  Medicare reassignment NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1669192712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505301",
            "telephone_number": "845-562-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505301",
            "telephone_number": "845-562-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WINDSOR FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "PEDEOM-SHAPIRO",
        "authorized_official_first_name": "MINOO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-562-2191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tigisti Neghassi
• Ernest Nelson, COTA
• Nephrology & Hypertension of Hudson Valley, PLLC
• Matthew Reyad Nesheiwat, D.C.
• New Broadway Physical Therapy
• New York Cardiac, P.C.
• New York Eyewear LLC
• New York Surgicalist Services, P.C.
• Newburgh Chemists Inc (Medical Arts Pharmacy)
• Newburgh Chemists Inc (Medical Arts Pharmacy)

• Clinic/Center in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.