WINTHROP COMMUNITY MEDICAL AFFILIATES PC (NPI# 1225408321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225408321 |
| Entity Type | Organization |
| Organization Name | WINTHROP COMMUNITY MEDICAL AFFILIATES PC |
| Other Organization Name | LONG ISLAND CARDIOLOGY ASSOCIATES |
| Practice Address |
285 Sills Rd Building 14 East Patchogue NY 11772-4869 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 6314478300 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Authorized Official Name | PHILIP 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 |
|---|---|
| Long Island Cardiology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724152 | Winthrop Community Medical Affiliates PC | Health Educator | 101 Mineola Blvd Ste 210, Mineola, NY 11501-4089 | 2018-06-15 |
| 1457873077 | Winthrop Community Medical Affiliates PC | Family Medicine | 200 Old Country Rd Ste 310, Mineola, NY 11501-4243 | 2017-07-14 |
| 1376073825 | Winthrop Community Medical Affiliates PC | Specialist | 1920 Deer Park Ave Ste 104, Deer Park, NY 11729-3314 | 2017-06-18 |
| 1861912503 | Winthrop Community Medical Affiliates PC | Dietitian, Registered | 975 Stewart Ave, Garden City, NY 11530-4816 | 2017-06-23 |
| 1801253117 | Winthrop Community Medical Affiliates PC | Internal Medicine | 1097 Old Country Rd, Suite 201, Plainview, NY 11803-6505 | 2016-01-19 |
| 1538526843 | Winthrop Community Medical Affiliates PC | Internal Medicine | 4271 Hempstead Tpke, Suite 1, Bethpage, NY 11714-5708 | 2016-01-19 |
| Street Address |
285 SILLS RD BUILDING 14 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395628 | Michael Fried | Specialist | 285 Sills Rd, Bldg 16, East Patchogue, NY 11772-4808 | 2005-06-09 |
| 1578121901 | Sweta Shah | Dietitian, Registered | 285 Sills Rd, East Patchogue, NY 11772-4869 | 2019-05-31 |
| 1356830954 | Mid Island Medical PC | Clinic/Center | 285 Sills Rd, East Patchogue, NY 11772-4869 | 2018-05-09 |
| 1710474515 | R.e.m Technologies Inc | Prosthetic/Orthotic Supplier | 285 Sills Rd, Bldg 2 Ste B, East Patchogue, NY 11772-4869 | 2018-04-17 |
| 1053818153 | William James Friedel Dds P.C. | Dentist | 285 Sills Rd, Building 2 Suite A, East Patchogue, NY 11772-4869 | 2018-04-06 |
| 1770024275 | Gay Roselle Comillas | Clinical Nurse Specialist | 285 Sills Rd, Bldg. 7 Suite B, East Patchogue, NY 11772-4869 | 2017-03-16 |
| 1538618426 | Eileen Suydam Oster | Occupational Therapist | 285 Sills Rd, Building Number, 18, Suite B, East Patchogue, NY 11772-4869 | 2016-10-03 |
| 1053764845 | Craig Heffron | Audiologist | 285 Sills Rd, Building 10, Suite A, East Patchogue, NY 11772-4869 | 2016-07-18 |
| 1043663909 | Ny Dme Consultants LLC | Prosthetic/Orthotic Supplier | 285 Sills Rd, Bldg 4 Ste B, East Patchogue, NY 11772-4869 | 2016-07-15 |
| 1093105645 | Professional Care Physical Therapy and Rehabilitation | Rehabilitation Unit | 285 Sills Rd, Building 10 Suite D, East Patchogue, NY 11772-4869 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| 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 |
|---|---|---|---|---|
| 1366639908 | Waqas Khan | Internal Medicine | 285 Sills Rd Bldg 14e, East Patchogue, NY 11772-4851 | 2007-09-27 |
| 1861857435 | Franco Cardiology, PC | Internal Medicine | 100 Hospital Rd, Suite 200, East Patchogue, NY 11772-8809 | 2015-12-23 |
| 1902183627 | Suffolk Cardiac Care, Pllc | Internal Medicine | 285 Sills Rd, Building 10, Suite A, East Patchogue, NY 11772-4869 | 2011-11-09 |
| 1912298563 | Patchogue Cardiology Associates PC | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2011-04-29 |
| 1194858019 | Long Island Cardiology Associates, LLP | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2007-03-13 |
| 1528019403 | Richard Harris Dyckman | Internal Medicine | 285 Sills Road, Building # 14, East Patchogue, NY 11772-4869 | 2006-05-15 |
| 1124079173 | Shahriar Joseph Khalili | Internal Medicine | 285 Sills Road, Building #14, East Patchogue, NY 11772-4869 | 2006-05-15 |
| 1518923135 | Vito Anthony Mercurio | Internal Medicine | 285 Sills Rd, Building #14, East Patchogue, NY 11772-4869 | 2006-04-22 |
| 1932165560 | James Nicholas Semertzides | Internal Medicine | 285 Sills Road, Building 14, East Patchogue, NY 11772-4869 | 2006-04-22 |
| 1699775759 | Raja Gunturi Varma | Internal Medicine | 285 Sills Rd, Building 12 Suite C, East Patchogue, NY 11772-4869 | 2005-07-29 |
| Find all providers in EAST PATCHOGUE | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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| 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.