Winthrop Community Medical Affiliates, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.

Doing business as

BEACH INTERNAL MEDICINE

Practice address

340 W Park Ave
Long Beach, NY 11561-3213

Phone

(516) 431-5064

NPI assigned

Dec 26, 2014

Organization subpart

No

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

Authorized official

Name

Philip D. Ragno, MD

Title

Co-President

Phone

(516) 877-2629

Specialties & licenses 1

Addresses

Other names 1

• BEACH INTERNAL MEDICINE Doing business as

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

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1801284997",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613213",
            "telephone_number": "516-431-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "RAGNO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "D.",
        "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": "BEACH INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Williams, FNP
• Dawn E. Williamson, M.D.
• Elizabeth Williamson
• Shakiera Wilson, RN, BSN
• Ashley Winn
• Lisa Marie Wisel, MS,ADTR-LCAT
• Darryl Wayne Zacharia Wisher, R.PH
• Amanda Greer Wisniewski, MA, CCC-SLP, TSSLD
• George Jory Wixsom, MD
• David Ming-Hai Wu, DDS

• Internal Medicine Physician in Long Beach, NY
• Providers in Long Beach, 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 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.