WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. (NPI# 1225406838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225406838 |
| Entity Type | Organization |
| Organization Name | WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. |
| Other Organization Name | SOUTH SHORE HEART CARDIOLOGY |
| Practice Address |
242 Merrick Rd Suite 402 Rockville Centre NY 11570-5254 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5167632800 |
| Mailing Telephone | 5165765835 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | PHILIP D RAGNO (CO-PRESIDENT) |
| Authorized Official Telephone | 5168772629 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SOUTH SHORE HEART CARDIOLOGY | 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 |
| 1023473774 | Winthrop Community Medical Affiliates, P.C. | Family Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2015-12-23 |
| 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 |
242 MERRICK RD SUITE 402 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188343 | Ronald A. Primis | Internal Medicine | 242 Merrick Rd, Suite 301, Rockville Centre, NY 11570-5254 | 2005-07-15 |
| 1477934917 | Lyndsey Sonkin | Nurse Practitioner | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2015-06-10 |
| 1952715773 | South Nassau Oncology Practice, PC | Internal Medicine | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2014-06-19 |
| 1033462684 | Varvara Alexiadis | Internal Medicine | 242 Merrick Rd, Ste 403, Rockville Centre, NY 11570-5254 | 2012-10-19 |
| 1134445497 | Valerie Kremer | Internal Medicine | 242 Merrick Rd, 301, Rockville Centre, NY 11570-5254 | 2010-04-12 |
| 1003048927 | Maureen Imelda Reese | Physician Assistant | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2009-08-11 |
| 1205094166 | Usdk LLC | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-28 |
| 1821256959 | Usdk Medical LLP | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-27 |
| 1699959908 | Cough Medical Care of Li PC | Allergy & Immunology | 242 Merrick Rd, Suite 401, Rockville Centre, NY 11570-5254 | 2007-12-21 |
| 1699974949 | Barbara Leahy | Nurse Practitioner | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| 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 |
|---|---|---|---|---|
| 1790012086 | Barbara Lepetri | Internal Medicine | 389 Hempstead Ave, Rockville Centre, NY 11570-2013 | 2009-11-09 |
| 1154420461 | South Shore Heart Associates PC | Internal Medicine | 242 Merrick Rd Ste 402, Rockville Centre, NY 11570-5254 | 2006-09-22 |
| 1649515925 | Chs Physician Partners, PC | Internal Medicine | 2000 N Village Ave, Suite 102, Rockville Centre, NY 11570-1078 | 2012-11-28 |
| 1962785303 | Ssh Cardiology PC | Internal Medicine | 242 Merrick Road, Suite 402, Rockville Centre, NY 11570-5254 | 2011-09-22 |
| 1316120074 | Alan D Guerci | Internal Medicine | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2007-12-17 |
| 1013042944 | Manish B Undavia | Internal Medicine | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2007-02-22 |
| 1427030097 | Jonathan H Sumner | Internal Medicine | 30 Hempstead Ave, Suite H 8, Rockville Centre, NY 11570-4033 | 2005-11-18 |
| 1720079056 | Timothy Chen | Internal Medicine | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2005-11-04 |
| 1083605224 | Mark A Kessler | Internal Medicine | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2005-11-04 |
| 1023009289 | Richard Horowitz | Internal Medicine | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2005-11-04 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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.