NYU Winthrop Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

2908000H Issued in NY

Legal business name

NYU WINTHROP HOSPITAL

Practice address

141 Dosoris LN
Glen Cove, NY 11542-1225

Phone

(516) 663-9020

Fax

(516) 663-9035

NPI assigned

Jul 13, 2005

Last updated

Jun 5, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

WINTHROP UNIVERSITY HOSPITAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Mr. John F. Collins, CPA

Title

Chief Executive Officer

Phone

(516) 663-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Winthrop Emergency MDS

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1750389763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-663-9020",
            "fax_number": "516-663-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DOSORIS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421225",
            "telephone_number": "516-663-9020",
            "fax_number": "516-663-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU WINTHROP HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINTHROP UNIVERSITY HOSPITAL ASSOCIATION",
        "enumeration_date": "2005-07-13",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "516-663-0333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "2908000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.