WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. (NPI# 1023473774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023473774 |
| Entity Type | Organization |
| Organization Name | WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. |
| Other Organization Name | ISLAND WIDE MEDICAL ASSOCIATES |
| Practice Address |
1401 Franklin Ave Garden City NY 11530-1613 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5168772626 |
| Mailing Telephone | 5165765692 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | PHILIP D RAGNO (CO-PRESIDENT) |
| Authorized Official Telephone | 5168772626 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ISLAND WIDE MEDICAL ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150288 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 297 Mineola Blvd, Mineola, NY 11501-1502 | 2017-01-11 |
| 1518415850 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 986 Sunrise Highway, North Babylon, NY 11703 | 2016-09-15 |
| 1619325032 | Winthrop Community Medical Affiliates, P.C. | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2016-05-26 |
| 1891153607 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2016-02-08 |
| 1437517232 | Winthrop Community Medical Affiliates, P.C. | Pediatrics | 1000 Franklin Ave, Suite 100, Garden City, NY 11530-2926 | 2016-02-08 |
| 1497113989 | Winthrop Community Medical Affiliates, P.C. | Orthopaedic Surgery | 2000 N Village Ave, Suite 306, Rockville Centre, NY 11570-1078 | 2016-01-29 |
| 1255797981 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 137 Broadway, Suite A, Amityville, NY 11701-2742 | 2016-01-11 |
| 1588020465 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 847 N Broadway, Suite 103, Massapequa, NY 11758-2373 | 2016-01-08 |
| 1972969111 | Winthrop Community Medical Affiliates, P.C. | Psychiatry & Neurology | 880 N Broadway, Massapequa, NY 11758-2351 | 2016-01-04 |
| 1528430162 | Winthrop Community Medical Affiliates, P.C. | Family Medicine | 536 Mineola Ave, Carle Place, NY 11514-1716 | 2015-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. | 200 Old Country Road, Suite 310, Mineola, New York 11501 |
| Street Address |
1401 FRANKLIN AVE |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040278 | Philip D Ragno | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2005-08-18 |
| 1639714058 | Maria P Giraldo | Physician Assistant | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2019-11-08 |
| 1508426776 | Hannah Curran | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2019-06-19 |
| 1164999314 | Melissa Dantonio | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2018-10-25 |
| 1780182188 | Tracy Britton Flynn | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530 | 2018-01-31 |
| 1124549324 | Maria Mini George | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2017-06-28 |
| 1891153607 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2016-02-08 |
| 1043677602 | Gladys Grace Andres Llaguno | Nurse Practitioner | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2016-01-26 |
| 1235501982 | Patrycja Szczepanek | Physician Assistant | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2015-10-21 |
| 1831506336 | Michele Damiani | Physician Assistant | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720019383 | William R Back | Internal Medicine | 30626 Ford Rd, Garden City, MI 48135-1870 | 2006-07-05 |
| 1174554687 | Nizam Ali Habhab | Internal Medicine | 1244 Middlebelt Rd, Garden City, MI 48135-2822 | 2006-07-05 |
| 1427040278 | Philip D Ragno | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2005-08-18 |
| 1912999780 | Richard Bryan Jacaruso | Internal Medicine | 1401 Franklin Avenue, Garden City, NY 11530-1613 | 2005-08-18 |
| 1194334771 | Catholic Health Initiatives Colorado | Internal Medicine | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-07-29 |
| 1093253783 | Felix I Oviasu Md PC | Internal Medicine | 400 Garden City Plz, Suite 303, Garden City, NY 11530-3322 | 2017-02-02 |
| 1346610185 | Nyli Medicine Pllc | Internal Medicine | 1225 Franklin Ave, Suite 325, Garden City, NY 11530-1691 | 2015-10-06 |
| 1760725949 | Matthew D Wright | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2013-04-05 |
| 1033419270 | Cardiovascular Medical Associates PC | Internal Medicine | 975 Stewart Ave, Garden City, NY 11530-4816 | 2010-10-21 |
| 1710129044 | Jonathan Nichol Jordan | Internal Medicine | 975 Stewart Ave, Garden City, NY 11530-4816 | 2009-04-01 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.