WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. (NPI# 1619325032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619325032 |
| Entity Type | Organization |
| Organization Name | WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. |
| Other Organization Name | WINTHROP COMMUNITY UROLOGY |
| Practice Address |
20 Hicksville Rd Suite 3 Massapequa NY 11758-5819 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5165415500 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MARC S ADLER (CO-PRESIDENT) |
| Authorized Official Telephone | 5166633849 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WINTHROP COMMUNITY UROLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150288 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 297 Mineola Blvd, Mineola, NY 11501-1502 | 2017-01-11 |
| 1518415850 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 986 Sunrise Highway, North Babylon, NY 11703 | 2016-09-15 |
| 1891153607 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2016-02-08 |
| 1437517232 | Winthrop Community Medical Affiliates, P.C. | Pediatrics | 1000 Franklin Ave, Suite 100, Garden City, NY 11530-2926 | 2016-02-08 |
| 1497113989 | Winthrop Community Medical Affiliates, P.C. | Orthopaedic Surgery | 2000 N Village Ave, Suite 306, Rockville Centre, NY 11570-1078 | 2016-01-29 |
| 1255797981 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 137 Broadway, Suite A, Amityville, NY 11701-2742 | 2016-01-11 |
| 1588020465 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 847 N Broadway, Suite 103, Massapequa, NY 11758-2373 | 2016-01-08 |
| 1972969111 | Winthrop Community Medical Affiliates, P.C. | Psychiatry & Neurology | 880 N Broadway, Massapequa, NY 11758-2351 | 2016-01-04 |
| 1023473774 | Winthrop Community Medical Affiliates, P.C. | Family Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2015-12-23 |
| 1528430162 | Winthrop Community Medical Affiliates, P.C. | Family Medicine | 536 Mineola Ave, Carle Place, NY 11514-1716 | 2015-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. | 200 Old Country Road, Suite 310, Mineola, New York 11501 |
| Street Address |
20 HICKSVILLE RD SUITE 3 |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343871 | Mital B. Patel | Podiatrist | 20 Hicksville Rd, Massapequa, NY 11758-5819 | 2006-07-06 |
| 1952812406 | Alyse Kathleen Middenorf | Social Worker | 20 Hicksville Rd, Massapequa, NY 11758-5819 | 2017-10-23 |
| 1972956332 | Lock and Key Therpay, Lcsw, Pllc | Social Worker | 20 Hicksville Rd, Suite 5, Massapequa, NY 11758-5819 | 2016-07-20 |
| 1457735094 | South Shore Podiatry, Pllc | Podiatrist | 20 Hicksville Rd, Suite 2, Massapequa, NY 11758-5819 | 2015-07-14 |
| 1083955660 | Katherine Ann Carroll | Physician Assistant | 20 Hicksville Rd, Suite 2, Massapequa, NY 11758-5819 | 2013-03-07 |
| 1023393493 | Robert Mucciolo Md PC | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2011-10-18 |
| 1720253487 | Marjorie J Isdith Do PC | Family Medicine | 20 Hicksville Rd, Suite 5, Massapequa, NY 11758-5819 | 2008-04-24 |
| 1952587891 | Jennie Lee Faraci | Social Worker | 20 Hicksville Rd, Suite 5, Massapequa, NY 11758-5819 | 2008-01-10 |
| 1003940248 | Peconic Urology P.C. | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2007-03-16 |
| 1245334473 | Robert L Mucciolo | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023393493 | Robert Mucciolo Md PC | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2011-10-18 |
| 1003940248 | Peconic Urology P.C. | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2007-03-16 |
| 1245334473 | Robert L Mucciolo | Urology | 20 Hicksville Rd, Suite 3, Massapequa, NY 11758-5819 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C..
| 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.