WINTHROP GASTROENTEROLOGY,PC (NPI# 1578573481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578573481 |
| Entity Type | Organization |
| Organization Name | WINTHROP GASTROENTEROLOGY,PC |
| Practice Address |
222 Station Plaza North Suite 428 Mineola NY 11501-3819 |
| Practice Telephone | 5166632066 |
| Practice Fax Number | 5166634655 |
| Mailing Telephone | 5166632066 |
| Mailing Fax Number | 5166634655 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-12-11 |
| Authorized Official Name | DR. JAMES HENRY GRENDELL (CHIEF/CEO) |
| Authorized Official Telephone | 5166632066 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01204659 | 05 |
| Street Address |
222 STATION PLAZA NORTH SUITE 428 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249501 | Ralph K Della Ratta | Internal Medicine | 222 Station Plaza North, Suite 310, Mineola, NY 11501 | 2006-01-10 |
| 1730747767 | Mehrab Tausif Islam | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2019-06-04 |
| 1235691353 | Stephanie Kong | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2019-04-05 |
| 1811427669 | Samira A Chowdhury | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509winthrop-university Hospital, Mineola, NY 11501 | 2017-06-14 |
| 1033561816 | Alexander Le | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2016-07-06 |
| 1871942185 | Marta Wioleta Wronska | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2016-06-07 |
| 1033592712 | Sanhita Reddy | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 509, Mineola, NY 11501 | 2015-06-30 |
| 1407129869 | Jonah Feldman | Internal Medicine | 222 Station Plaza North, Suite 310, Mineola, NY 11501-3808 | 2012-02-15 |
| 1659690972 | Dolorita De Jesus | Nurse Practitioner | 222 Station Plaza North, Suite 428, Mineola, NY 11501 | 2010-05-26 |
| 1174736037 | Maryann Harding | Social Worker | 222 Station Plaza North, Suite 611, Mineola, NY 11561-3813 | 2007-05-08 |
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| 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 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1629172721 | Steven J Geier | Internal Medicine | 300 Old Country Road Suite 31, Mineola, NY 11501 | 2006-09-11 |
| 1952766875 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Internal Medicine | 222 Station Plz N, Suite 428, Mineola, NY 11501-3800 | 2015-12-18 |
| 1780020560 | Jacqueline Forman | Internal Medicine | 222 Station Plz N, Suite 509, Mineola, NY 11501-3800 | 2013-05-20 |
| 1407168735 | Chinar S Mehta | Internal Medicine | 222 Station Plz N, Suite 428, Mineola, NY 11501-3800 | 2010-07-01 |
| 1942393061 | Klein Geier Lipp Md LLP | Internal Medicine | 300 Old Country Road, Ste 31, Mineola, NY 11501 | 2006-10-02 |
| 1538263637 | Robert A Klein | Internal Medicine | 300 Old Country Road Suite 31, Mineola, NY 11501 | 2006-09-11 |
| 1194829291 | Alan S Lipp | Internal Medicine | 300 Old Country Road Suite 31, Mineola, NY 11501 | 2006-09-11 |
| 1720009194 | Neil Ferrara | Internal Medicine | 300 Old Country Rd, Mineola, NY 11501-4198 | 2006-07-21 |
| 1083649784 | Bhawna Halwan | Internal Medicine | 222 Station Plaza North, Suite 428, Mineola, NY 11501-3819 | 2006-07-11 |
| 1285603878 | David Moshe Friedel | Internal Medicine | 222 Station Plz N, Suite 428, Mineola, NY 11501-3808 | 2006-03-16 |
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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.