Charles A Annunziato, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

151682 Issued in NY

Practice address

1000 Franklin Ave
Suite 300
Garden City, NY 11530-2926

Phone

(516) 248-6868

Fax

(516) 248-6841

NPI assigned

Jul 15, 2005

Last updated

Jun 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Group of Mineola, PC

  dba Winthrop Psychiatry Group

  • Psychiatry Physician
  • Mineola, NY
  • NPI 1255798096
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1700885316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN AVE",
            "address_2": "SUITE 300",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302926",
            "telephone_number": "516-248-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN AVE",
            "address_2": "SUITE 300",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302926",
            "telephone_number": "516-248-6868",
            "fax_number": "516-248-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNUNZIATO",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00819741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "11D621",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0079402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Andretta, M.A.
• Melissa Angelides
• Katherine Angulo Leal
• Anke Ott-Young Medical PC
• Ann D. Tobin, DDS (Tobin Dental Care)
• Anthesis Acupuncture PC
• Michelle Lynn Anthonies, DC
• Antonio Casanova DDS & Bruce Goldman DMD PLLC
• Fatima Anwar, MA, BCBA
• Apollon Surgical PLLC

• Internal Medicine Physician in Garden City, NY
• Providers in Garden City, 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 Jun 8, 2012; 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.