Active NPI
Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
Doing business as Winthrop Pediatric Associates
- Pediatrics Physician
- Mineola, NY
National Provider Identifier
1902200041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR
- Doing business as
- Winthrop Pediatric Associates
- Practice address
- 222 Station PLZ N
Suite 611
Mineola, NY 11501-3800 - Phone
- (516) 663-2532
- Fax
- (516) 663-8874
- NPI assigned
- Oct 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael D. Ammazzalorso, M.D.
- Title
- Co-President
- Phone
- (516) 663-8209
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | |||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Pediatric Cardiology Physician | 2080P0202X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | |||
| Pediatric Endocrinology Physician | 2080P0205X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | |||
| Pediatric Infectious Diseases Physician | 2080P0208X | |||
| Pediatric Nephrology Physician | 2080P0210X | |||
| Pediatric Pulmonology Physician | 2080P0214X | |||
| Pediatric Rheumatology Physician | 2080P0216X | |||
| Pediatric Sleep Medicine Physician | 2080S0012X |
Addresses
Primary practice location
222 Station PLZ N
Suite 611
Mineola, NY 11501-3800
Mailing address
700 Hicksville Rd
Suite 204
Bethpage, NY 11714-3471
Phone (516) 576-5715
Other names 1
- Winthrop Pediatric Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413504000000",
"number": "1902200041",
"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",
"telephone_number": "516-576-5715",
"fax_number": "516-576-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATION PLZ N",
"address_2": "SUITE 611",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013800",
"telephone_number": "516-663-2532",
"fax_number": "516-663-8874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A",
"authorized_official_last_name": "AMMAZZALORSO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "516-663-8209",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Winthrop Pediatric Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mineola, NY
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop Behavioral Health)
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop Endocrinology, Diabetes and Metabolism)
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop Infectious Disease Associates)
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop and Hyperbaric and Wound Healing Services)
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop Pulmonary Associates)
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop Gastroenterology)
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor (Winthrop Neuroscience Associates)
- Winthrop First Care Medical Services PC
- Winthrop Gastroenterology,PC
- Winthrop Geriatric Medicine Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.