Active NPI
Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Geriatric Medicine (Family Medicine) Physician
- Mineola, NY
National Provider Identifier
1962808907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
- Practice address
- 222 Station PLZ N
Suite 518
Mineola, NY 11501-3800 - Phone
- (516) 663-2588
- NPI assigned
- Nov 18, 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
- Joseph Greco, MD
- Title
- Co-President
- Phone
- (516) 663-2216
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X |
Addresses
Primary practice location
222 Station PLZ N
Suite 518
Mineola, NY 11501-3800
Mailing address
700 Hicksville Rd
204
Bethpage, NY 11714-3471
Phone (516) 576-5810
Other names 1
- Winthrop Geriatric Medicine Associates
National Provider Directory
National Provider DirectoryLocations
222 Station Rd
Ste 518
Mineola, NY 11501
Phone (516) 663-2588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1962808907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HICKSVILLE RD",
"address_2": "204",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143471",
"telephone_number": "516-576-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATION PLZ N",
"address_2": "SUITE 518",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013800",
"telephone_number": "516-663-2588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-18",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "GRECO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "516-663-2216",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Winthrop Geriatric Medicine Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mineola, NY
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corp
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
- Winthrop Faculty Medical Affiliates University Faculty Practice Corpor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.