Active NPI
Winthrop Community Medical Affiliates, P.C.
- Pediatrics Physician
- Mineola, NY
National Provider Identifier
1952325367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01063721 | Medicaid | NY |
Other names 1
- Winthrop Pediatric Associates
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0672366 | Winthrop Community Medical Affiliates PC | Certificate of waiver | Mar 26, 2027 |
| 33D0718715 | Winthrop Community Medical Affiliates PC | Certificate of waiver | Mar 26, 2027 |
| 33D0875133 | Winthrop Community Medical Affiliates PC | Certificate of waiver | Mar 26, 2027 |
| 33D2076622 | Winthrop Community Medical Affiliates PC | Certificate of waiver | Mar 26, 2027 |
| 33D2126203 | Winthrop Community Medical Affiliates PC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Winthrop Community Medical Affiliates
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Educator
- Mineola, NY
- NPI 1245724152
-
- Specialist
- Deer Park, NY
- NPI 1376073825
-
- Cardiovascular Disease Physician
- Garden City, NY
- NPI 1861912503
-
- Pediatrics Physician
- Garden City, NY
- NPI 1437517232
-
- Obstetrics & Gynecology Physician
- Mineola, NY
- NPI 1487691481
-
- Neurology with Special Qualifications in Child Neurology Physician
- Mineola, NY
- NPI 1689728107
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
- Winthrop Community Medical Affiliates PC
- Winthrop Community Medical Affiliates, P.C.
- Winthrop Community Medical Affiliates, P.C.
- Winthrop Community Medical Affiliates, P.C.
- Winthrop Community Medical Affiliates, P.C.
- Winthrop Dental PC
- Winthrop Faculty Medical Affiliates University Faculty Practice Copor
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
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.