DR. JONATHAN C WINICK (NPI# 1043262819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043262819 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN C WINICK |
| Credential | MD |
| Practice Address |
370 E Main St Suite 1 Bay Shore NY 11706-8415 |
| Practice Telephone | 6316664767 |
| Practice Fax Number | 6316652153 |
| Mailing Telephone | 6316664767 |
| Mailing Fax Number | 6316652153 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
195770 | NY | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
195770 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01837232 | 05 |
| Street Address |
370 E MAIN ST SUITE 1 |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637163 | Charles Scott Hall | Internal Medicine | 370 E Main St, Suite 5, Bay Shore, NY 11706-8415 | 2005-08-26 |
| 1033246426 | Long Island Neurology,p.c. | Psychiatry & Neurology | 370 E Main St, Suite 1, Bay Shore, NY 11706-8415 | 2007-02-27 |
| 1225080096 | Daniel H Cohen | Psychiatry & Neurology | 370 E Main St, Suite 1, Bay Shore, NY 11706-8415 | 2006-05-17 |
| 1295783132 | Andrew D Rogove | Psychiatry & Neurology | 370 E Main St, Suite 1, Bay Shore, NY 11706-8415 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030277 | Samson Mebrahtu | Psychiatry & Neurology | 280 Montauk Hwy, Bay Shore, NY 11706-8403 | 2006-02-06 |
| 1013140136 | Keith Garcia Desousa | Psychiatry & Neurology | 270 E Main St, Bay Shore, NY 11706-8420 | 2009-08-24 |
| 1639369945 | Simon Sanchez, Physician, PC | Psychiatry & Neurology | 1991 Union Blvd, Bay Shore, NY 11706-7936 | 2007-08-01 |
| 1033246426 | Long Island Neurology,p.c. | Psychiatry & Neurology | 370 E Main St, Suite 1, Bay Shore, NY 11706-8415 | 2007-02-27 |
| 1225080096 | Daniel H Cohen | Psychiatry & Neurology | 370 E Main St, Suite 1, Bay Shore, NY 11706-8415 | 2006-05-17 |
| 1578511127 | Southside Hospital Department of Neurology | Psychiatry & Neurology | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-05-05 |
| 1295783132 | Andrew D Rogove | Psychiatry & Neurology | 370 E Main St, Suite 1, Bay Shore, NY 11706-8415 | 2006-05-04 |
| 1851367569 | Clifford Miller | Psychiatry & Neurology | 280 Montauk Hwy, Bay Shore, NY 11706-8403 | 2006-02-23 |
| 1164497236 | Barbara Bumstead | Psychiatry & Neurology | 280 Montauk Hwy, Bay Shore, NY 11706-8403 | 2006-02-21 |
| 1740253111 | Melinda Morrissey | Psychiatry & Neurology | 280 Montauk Hwy, Bay Shore, NY 11706-8403 | 2006-02-08 |
| Find all providers in BAY SHORE | ||||
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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.