WINTHROP COMMUNITY MEDICAL AFFILIATES PC (NPI# 1245724152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245724152 |
| Entity Type | Organization |
| Organization Name | WINTHROP COMMUNITY MEDICAL AFFILIATES PC |
| Other Organization Name | NYU WINTHROP DIABETES SELF-MANAGEMENT PROGRAM |
| Practice Address |
101 Mineola Blvd Ste 210 Mineola NY 11501-4089 |
| Mailing Address |
700 Hicksville Rd Ste 204 Bethpage NY 11714-3472 |
| Practice Telephone | 5166633511 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | BRIAN SADOWSKY (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5166638919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04867401 | 05 |
| Other Name | Type Code |
|---|---|
| NYU Winthrop Diabetes Self-Management Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1225408321 | Winthrop Community Medical Affiliates PC | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2015-10-01 |
| Street Address |
101 MINEOLA BLVD STE 210 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427210 | Erica Bailey | Health Educator | 10 Clawson St Fl 1, Staten Island, NY 10306-3304 | 2020-11-04 |
| 1154920932 | Yelena Maur | Health Educator | 130 Whitman Ave, Staten Island, NY 10308-3407 | 2020-10-22 |
| 1578162665 | Celeste Pinkston | Health Educator | 2415 Newkirk Ave Apt 3j, Brooklyn, NY 11226-7633 | 2020-10-20 |
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1508476607 | Ww Health Solutions, Inc. | Health Educator | 675 Avenue of The Americas, New York, NY 10010-5100 | 2020-08-04 |
| 1235748732 | Rivel Lozada | Health Educator | 435 Fort Washington Ave Apt 2b, New York, NY 10033-3527 | 2020-07-30 |
| 1790303188 | Desrene James | Health Educator | 1623 Utica Ave, Brooklyn, NY 11234-1524 | 2020-07-11 |
| 1801412309 | Sharifa H Grant | Health Educator | 13 Brewster Ct, Washingtonville, NY 10992-1022 | 2020-06-19 |
| 1215563523 | Julissa Reynoso | Health Educator | 247 W 37th St Fl 9, New York, NY 10018-5193 | 2020-03-18 |
| 1780219444 | Shani A Faure | Health Educator | 11620 168th St, Jamaica, NY 11434-1730 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.