Organization Active NPI

Winthrop Community Medical Affiliates, P.C.

  • Pediatrics Physician
  • Mineola, NY
National Provider Identifier
1952325367
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
Practice address
222 Station PLZ N
Suite 611
Mineola, NY 11501-3808
Phone
(516) 663-2532
Fax
(516) 663-8955
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Joseph Greco, MD
Title
Chief Medical Officer
Phone
(516) 663-8209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

222 Station PLZ N
Suite 611
Mineola, NY 11501-3808

Mailing address

222 Station PLZ N
Suite 611
Mineola, NY 11501-3808
Phone (516) 663-2532

Other identifiers 1

IdentifierTypeStateIssuer
01063721MedicaidNY

Other names 1

  • Winthrop Pediatric Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0672366Winthrop Community Medical Affiliates PC222 Station Plaza North - Suite 611, Mineola, NY 11501Certificate of waiverMar 26, 2027
33D0718715Winthrop Community Medical Affiliates PC222 Station Plaza N - Suite 310, Mineola, NY 11501Certificate of waiverMar 26, 2027
33D0875133Winthrop Community Medical Affiliates PC222 Station Plaza North - Suite 518, Mineola, NY 11501Certificate of waiverMar 26, 2027
33D2076622Winthrop Community Medical Affiliates PC222 Station Palza North - Suite 400, Mineola, NY 11501Certificate of waiverMar 26, 2027
33D2126203Winthrop Community Medical Affiliates PC222 Station Plaza North - Suite 110, Mineola, NY 11501Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Winthrop Community Medical Affiliates7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Old Country Rd
Ste 440
Mineola, NY 11501
Phone (516) 663-9400

107 Mineola Blvd
Mineola, NY 11501
Phone (516) 542-2323

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1952325367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STATION PLZ N",
            "address_2": "SUITE 611",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013808",
            "telephone_number": "516-663-2532",
            "fax_number": "516-663-8955"
        },
        {
            "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": "115013808",
            "telephone_number": "516-663-2532",
            "fax_number": "516-663-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "516-663-8209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01063721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winthrop Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.