Individual provider Active NPI

Ronald Scott Winokur, M.D.

  • Vascular & Interventional Radiology Physician
  • New York, NY
National Provider Identifier
1790941722
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
264654 Issued in NY
Practice address
2315 Broadway FRNT 4
New York, NY 10024-4332
Phone
(646) 962-9179
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD437794 PA
Vascular & Interventional Radiology Physician 2085R0204X 264654 NY Primary

Addresses

Primary practice location

2315 Broadway FRNT 4
New York, NY 10024-4332

Mailing address

2315 Broadway FRNT 4
New York, NY 10024-4332
Phone (646) 962-9179

Other practice location 1

111 S 11th St Ste G3390
Philadelphia, PA 19107-4824
Phone (215) 955-2900

Other practice location 2

2301 S Broad St Fl 2
Philadelphia, PA 19148-3542
Phone (215) 952-9148

Other practice location 3

132 S 10th St Ste 3390
Philadelphia, PA 19107-5244
Phone (800) 858-1662

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address rsw9004@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000282 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1557505914 Reassigns benefits to 3 organizations
I20190304000813 PA Practitioner - Interventional Radiology 1557505914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
264654NYMDVascular & Interventional Radiology Physician
MD437794PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Cornell Imaging at Nyp Vascular & Interventional Radiology CurrentSince Jul 1, 2013 Accepting new patients
Weill Medical College of Cornell Vascular & Interventional Radiology CurrentSince Jul 1, 2013 Accepting new patients
Kings Physician Services, PC CurrentSince Sep 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2013 Accepting new patients
Kings Physician Services, PC Vascular & Interventional Radiology CurrentSince Sep 1, 2022 Accepting new patients
Weill Cornell Medical Imaging Vascular & Interventional Radiology CurrentSince Jul 1, 2013 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Vascular & Interventional Radiology Current Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

2315 Broadway
Frnt 4
New York, NY 10024
Phone (646) 962-9178

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rsw9004@direct.nyp.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1790941722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY FRNT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244332",
            "telephone_number": "646-962-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 BROADWAY FRNT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244332",
            "telephone_number": "646-962-9179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S 11th St Ste G3390",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-2900",
            "fax_number": "215-923-1562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 S Broad St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191483542",
            "country_code": "US",
            "telephone_number": "215-952-9148",
            "fax_number": "215-952-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 S 10th St Ste 3390",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075244",
            "country_code": "US",
            "telephone_number": "800-858-1662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINOKUR",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD437794",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "264654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "2315 Broadway Frnt 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100244332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsw9004@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "2315 Broadway Frnt 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100244332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "2315 Broadway Frnt 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100244332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.