WINTHROP COMMUNITY MEDICAL AFFILIATES, PC (NPI# 1770948093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770948093 |
| Entity Type | Organization |
| Organization Name | WINTHROP COMMUNITY MEDICAL AFFILIATES, PC |
| Other Organization Name | WINTHROP MEDICAL AFFILIATES AT SHELTER ISLAND |
| Practice Address |
44 South Ferry Road Shelter Island NY 11964-0880 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 6317493149 |
| Practice Fax Number | 6317494257 |
| Mailing Telephone | 5165765822 |
| Mailing Fax Number | 5165765801 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | PHILIP RAGNO (CO-PRESIDENT) |
| Authorized Official Telephone | 5168772629 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Winthrop Medical Affiliates at Shelter Island | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932564630 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 74825 Main Rd, Greenport, NY 11944-2823 | 2015-12-22 |
| 1013455773 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 189 Main Rd, Suite F, Riverhead, NY 11901-1957 | 2017-02-02 |
| 1245774777 | Winthrop Community Medical Affiliates, PC | Social Worker | 580 Sunrise Hwy, West Babylon, NY 11704-6000 | 2016-12-19 |
| 1619338282 | Winthrop Community Medical Affiliates, PC | Obstetrics & Gynecology | 600 Northern Blvd, 106, Great Neck, NY 11021-5206 | 2016-03-10 |
| 1043679558 | Winthrop Community Medical Affiliates, PC | Obstetrics & Gynecology | 70 E Sunrise Hwy, 515, Valley Stream, NY 11581-1240 | 2016-02-12 |
| 1457710915 | Winthrop Community Medical Affiliates, PC | Orthopaedic Surgery | 30 Merrick Ave, Suite 100, East Meadow, NY 11554-1580 | 2016-02-12 |
| 1619336179 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 45 Route 25a, Shoreham, NY 11786-1389 | 2016-02-12 |
| 1114384302 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 6835 Myrtle Ave, Glendale, NY 11385-7234 | 2016-01-20 |
| 1619334877 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 1350 Deer Park Ave, Suite 4, North Babylon, NY 11703-1619 | 2016-01-19 |
| 1356708747 | Winthrop Community Medical Affiliates, PC | Internal Medicine | 43 Barter Ln, Hicksville, NY 11801-3904 | 2016-01-15 |
| Street Address |
44 SOUTH FERRY ROAD |
| City | SHELTER ISLAND |
| State | NY |
| Zip Code | 11964-0880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598726 | Barbara Phillips-cole | Family Medicine | 44 South Ferry Road, Shelter Island, NY 11964 | 2006-07-12 |
| 1427332873 | Peter Kelt Md PC | General Practice | 44 South Ferry Road, Shelter Island, NY 11964-0880 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437508959 | Jennifer Meta Crane | Acupuncturist | 46 Lake Dr, Shelter Island, NY 11964 | 2016-06-06 |
| 1417388695 | Kyle Karen | Occupational Therapist | 13 Westneck Rd, Shelter Island, NY 11964 | 2013-12-12 |
| 1538429642 | Margaret Anne Larsen Mathews | Speech-Language Pathologist | 125 Midway Rd, Shelter Island, NY 11964 | 2012-05-22 |
| 1790983245 | David Francis Rees | Pharmacist | 302 Rt. 25 A, Miller Place, NY 11964 | 2007-07-06 |
| 1437275849 | Bernadette Ann Gildea | Social Worker | 3 Hillside Drive, Shelter Island, NY 11964 | 2007-03-21 |
| 1720173750 | Robert David Blank | Dentist | 51a N. Ferry Rd., Shelter Island, NY 11964-0715 | 2006-10-04 |
| 1124092408 | Peter Anthony Kelt | General Practice | 44 Route 114, Shelter Island, NY 11964-0880 | 2006-02-14 |
| 1023096336 | Frank Spinosa | Podiatrist | 2a Hudson Avenue, Shelter Island, NY 11964-1023 | 2006-01-06 |
| 1447432935 | Shelter Island Podiatry | Podiatrist | 2a Hudson Avenue, # 1023, Shelter Island, NY 11964-1023 | 2007-11-27 |
| 1982737151 | Michele R Pepey | Speech-Language Pathologist | 7 Lake Drive, Shelter Island, NY 11964-1859 | 2007-03-14 |
| Find all providers in zip 11964 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092408 | Peter Anthony Kelt | General Practice | 44 Route 114, Shelter Island, NY 11964-0880 | 2006-02-14 |
| 1427332873 | Peter Kelt Md PC | General Practice | 44 South Ferry Road, Shelter Island, NY 11964-0880 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SHELTER ISLAND |
| Zip Code | 11964 |
Please comment or provide details below to improve the information on WINTHROP COMMUNITY MEDICAL AFFILIATES, PC.
| 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.