MARK WINSBERG (NPI# 1497769764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497769764 |
Entity Type | Individual |
Full Name | MARK WINSBERG |
Credential | MD |
Practice Address |
1565 Long Pond Rd Unity Park Ridge Chemical Dependency Rochester NY 14626-4122 |
Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
Practice Telephone | 5857237350 |
Practice Fax Number | 5857237353 |
Mailing Telephone | 5859220553 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2019-02-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 187489 | NY | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 187489 | NY | Allopathic & Osteopathic Physicians |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
187489 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02509373 | 05 |
Street Address |
1565 LONG POND RD UNITY PARK RIDGE CHEMICAL DEPENDENCY |
City | ROCHESTER |
State | NY |
Zip Code | 14626-4122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548299738 | Patricia Halligan | Psychiatry & Neurology | 1565 Long Pond Rd, Chemical Dependency, Rochester, NY 14626-4122 | 2006-07-01 |
1669009122 | Amanda R Morse | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2020-03-25 |
1306472592 | Brianna Becker | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2020-03-19 |
1598390320 | David J Mezynski | Social Worker | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2020-03-12 |
1265075725 | Zoie Presutti | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-10-28 |
1215586169 | Brianna F Lippa | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-09-04 |
1659926103 | Amy Renee Cruz | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-08-01 |
1588222558 | Allison Miller | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-06-04 |
1467010876 | Jennifer Ann Esten | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2019-05-31 |
1215419106 | Alicia Michelle Maxwell | Counselor | 1565 Long Pond Rd, Rochester, NY 14626-4122 | 2018-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
Find all providers in zip 14626 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336388529 | Clifford J Hurley D.o., LLC | Family Medicine | 2211 Lyell Ave, Suite 101, Rochester, NY 14606-5743 | 2009-02-11 |
1356564868 | Charles W Morgan | Family Medicine | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2007-04-11 |
1225136443 | Steve Novak | Family Medicine | 300 Crittenden Blvd, Rochester, NY 14642-8409 | 2006-09-20 |
1205933835 | Michael Edward Foster | Family Medicine | 1565 Long Pond Rd, Unity Chemical Dependency, Rochester, NY 14626-4122 | 2006-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
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1053921957 | Titan Primary Care, Inc | Family Medicine | 3753 90th St Ste 11, Jackson Heights, NY 11372-7879 | 2020-08-05 |
1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
1548820608 | Cs Medical Associates, P.C. | Family Medicine | 727 N Broadway Ste B1, Massapequa, NY 11758-2348 | 2019-06-19 |
1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
1457771842 | Gary Demara | Family Medicine | 220 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2014-04-24 |
1144540022 | Michael James Reardon | Family Medicine | 41 Dunlop Rd, Huntington, NY 11743-3932 | 2010-06-02 |
1710123963 | Fred William Marcus | Family Medicine | 770 Jericho Tpke, Syosset, NY 11791-4516 | 2008-12-17 |
1740447101 | Bernard Charles Borkowski | Family Medicine | 2025 Kenneth Rd, Merrick, NY 11566-5508 | 2008-05-21 |
1023280740 | Charles Pouponneau | Family Medicine | 147-20 Archer Avenue, Jamaica, NY 11435 | 2008-04-02 |
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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.