WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP (NPI# 1245637297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245637297 |
| Entity Type | Organization |
| Organization Name | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP |
| Other Organization Name | WINTHROP CARDIOLOGY ASSOCIATES |
| Practice Address |
120 Mineola Blvd Suite 500 Mineola NY 11501-4064 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5166634480 |
| Mailing Telephone | 5165765855 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-12-01 |
| Authorized Official Name | MICHAEL AMMAZZALORSO (CO-PRESIDENT) |
| Authorized Official Telephone | 5166638209 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Winthrop Cardiology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780043570 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Pathology | 222 Station Plz N, Suite 606, Mineola, NY 11501-3800 | 2016-02-22 |
| 1366801409 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Urology | 1300 Franklin Ave, Suite Ml-6, Garden City, NY 11530-1886 | 2016-02-17 |
| 1477911436 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Internal Medicine | 200 Old Country Rd, Suite 450, Mineola, NY 11501-4235 | 2016-02-05 |
| 1174907547 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Hospitalist | 259 1st St, Mineola, NY 11501-3957 | 2015-07-16 |
| 1093199564 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Allergy & Immunology | 120 Mineola Blvd, Suite 410, Mineola, NY 11501-4064 | 2015-07-15 |
| 1962808907 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Internal Medicine | 222 Station Plz N, Suite 518, Mineola, NY 11501-3800 | 2014-11-18 |
| 1235533993 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Psychiatry & Neurology | 173 Mineola Blvd, Suite 101, Mineola, NY 11501-2528 | 2014-10-09 |
| 1639572589 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | 2014-10-07 |
| Street Address |
120 MINEOLA BLVD SUITE 500 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1447892153 | Cassandra Singh | Nurse Practitioner | 120 Mineola Blvd, Mineola, NY 11501-4064 | 2019-10-14 |
| 1750739876 | Jaime Michelle Tramontana | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2016-05-31 |
| 1770944688 | Jessica Hoey | Internal Medicine | 120 Mineola Blvd, Mineola, NY 11501 | 2016-03-19 |
| 1689039505 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Emergency Medicine | 120 Mineola Blvd, Suite 360, Mineola, NY 11501-4064 | 2015-12-18 |
| 1013372135 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Surgery | 120 Mineola Blvd, Suite 300, Mineola, NY 11501-4064 | 2015-12-16 |
| 1639555428 | Anne-marie Wise | Nurse Practitioner | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | 2015-08-04 |
| 1518342021 | Sherin Philip | Nurse Practitioner | 120 Mineola Blvd, 100, Mineola, NY 11501-4064 | 2015-07-26 |
| 1093199564 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Allergy & Immunology | 120 Mineola Blvd, Suite 410, Mineola, NY 11501-4064 | 2015-07-15 |
| 1154702850 | Abigail Weinberg | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2015-06-18 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1720345879 | Shervin Golbari | Internal Medicine | 200 Old Country Rd Ste 278, Mineola, NY 11501-4298 | 2012-04-13 |
| 1023115607 | Regina S Druz | Internal Medicine | 121 Jericho Tpke, Mineola, NY 11501-1821 | 2006-09-17 |
| 1457347999 | Todd Kerwin | Internal Medicine | 212 Jericho Tpke, Mineola, NY 11501-1613 | 2005-09-20 |
| 1720411010 | Marilyn Mathew Chengot | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2013-08-09 |
| 1255653739 | Ronald A Stevens Md, PC | Internal Medicine | 166 E Jericho Tpke, Mineola, NY 11501-2098 | 2010-02-24 |
| 1265762900 | Winthrop Cardiology Associates P C | Internal Medicine | 120 Mineola Blvd., Suite 500, Mineola, NY 11501-4072 | 2009-12-31 |
| 1720313745 | Beevash Ray | Internal Medicine | 120 Mineola Blvd, Suite 500, Mineola, NY 11501-4064 | 2009-10-08 |
| 1871721175 | Athanasios Smyrlis | Internal Medicine | 259 1st St, Winthrop University Hospital, Mineola, NY 11501-3957 | 2009-06-24 |
| 1689800435 | Juan Gaztanaga | Internal Medicine | 120 Mineola Blvd, Suite 500, Mineola, NY 11501-4064 | 2009-06-08 |
| 1932359908 | Island Wide Medical Associates, PC | Internal Medicine | 80 E Jericho Tpke, Suite 100, Mineola, NY 11501-3140 | 2008-09-25 |
| Find all providers in MINEOLA | ||||
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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.