JUSTIN CONWAY (NPI# 1437416807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437416807 |
| Entity Type | Individual |
| Full Name | JUSTIN CONWAY |
| Credential | MD |
| Practice Address |
1200 Route 300 Newburgh NY 12550-5003 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 284699 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
284699 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04495098 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639585805 | Justin Conway | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2014-07-08 |
| Street Address |
1200 ROUTE 300 |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316917990 | Eileen Gayle Bogursky | Obstetrics & Gynecology | 1200 Route 300, Newburgh, NY 12550-5003 | 2006-01-25 |
| 1649894338 | Alexis Nicole Manz | Physician Assistant | 1200 Route 300, Newburgh, NY 12550-5003 | 2020-05-29 |
| 1134643075 | Michelle Newell-whitney | Nurse Practitioner | 1200 Route 300, Newburgh, NY 12550-5003 | 2017-08-02 |
| 1831610369 | Mandi L. Zaccagnino | Nurse Practitioner | 1200 Route 300, Newburgh, NY 12550-5003 | 2017-07-06 |
| 1790137743 | Tiffanie R. Santos | Pediatrics | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-07-01 |
| 1356796312 | Megan Elizabeth Kaknis | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-04-27 |
| 1053780403 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-09-16 |
| 1104207893 | Theresa Marie Clearwater | Nurse Practitioner | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-06-18 |
| 1063807980 | Sebastian Salvatore Demarco | Dermatology | 1200 Route 300, Newburgh, NY 12550-5003 | 2015-03-30 |
| 1871993642 | Veronica Ferencz | Surgery | 1200 Route 300, Crystal Run Healthcare- Breast Surgery, Newburgh, NY 12550 | 2014-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1215431119 | Diane Gonzales | Counselor | 3 Commercial Place, Newburgh, NY 12550 | 2018-03-23 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104326909 | Orthopaedic Associates, Inc. | Family Medicine | 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638012 | Sports Medicine Specialist P.C. | Family Medicine | 1578 Williamsbridge Rd # 3d, Bronx, NY 10461-6265 | 2020-04-20 |
| 1588104855 | Winston Medical PC | Family Medicine | 10814 72nd Ave Ste 4, Forest Hills, NY 11375-5301 | 2017-03-06 |
| 1649680240 | Makoto Michael Yoshino | Family Medicine | 22 W 21st St Ste 400, New York, NY 10010 | 2014-05-05 |
| 1215378369 | Elan Luria Goldwaser | Family Medicine | 1 Pondfield Road, 1st Floor, Bronxville, NY 10708 | 2013-07-17 |
| 1134431554 | Joseph Weber-lopez | Family Medicine | 158 E Main St Ste 3, Huntington, NY 11743-2988 | 2010-07-14 |
| 1881857159 | James Nathan Robinson | Family Medicine | 148-168 39th St, Floor 7, Brooklyn, NY 11232 | 2008-07-08 |
| 1639332422 | Marlon Stephen Mathews | Family Medicine | 184 Losson Road, Cheektowaga, NY 14227 | 2008-07-02 |
| 1598954158 | Anthony Cappellino Md PC | Family Medicine | 60 Fleets Point Dr, Suite 1, West Babylon, NY 11704-8314 | 2007-10-19 |
| 1356565790 | Christine Anne Blonski | Family Medicine | 2619 Culver Rd Ste 2a, Rochester, NY 14609-1738 | 2007-04-13 |
| 1265505036 | Si Medical Practice Associate PC | Family Medicine | 1147 Richmond Road, Staten Island, NY 10304 | 2006-11-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUSTIN CONWAY.
| 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.