WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR (NPI# 1477922326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477922326 |
| Entity Type | Organization |
| Organization Name | WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR |
| Other Organization Name | WINTHROP NEPHROLOGY ASSOCIATES |
| Practice Address |
200 Old Country Rd Suite 135 Mineola NY 11501-4235 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5166632169 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | JOSEPH GRECO (CO-PRESIDENT) |
| Authorized Official Telephone | 5166632216 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Winthrop Nephrology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477913069 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2016-02-25 |
| 1528427325 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Physical Therapist | 1300 Franklin Ave, Suite Ll2, Garden City, NY 11530-1886 | 2016-02-22 |
| 1952766875 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Internal Medicine | 222 Station Plz N, Suite 428, Mineola, NY 11501-3800 | 2015-12-18 |
| 1720443633 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Internal Medicine | 222 Station Plz N, Suite 400, Mineola, NY 11501-3800 | 2015-12-18 |
| 1649635566 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Preventive Medicine | 1300 Franklin Ave, Suite Ul4a, Garden City, NY 11530-1886 | 2015-12-18 |
| 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 |
| 1477949717 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Surgery | 120 Mineola Blvd, Suite 320, Mineola, NY 11501-4064 | 2015-04-14 |
| 1568858801 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Orthopaedic Surgery | 1300 Franklin Ave, Suite Ul 3a & B, Garden City, NY 11530-1886 | 2015-04-14 |
| 1952796203 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Psychiatry & Neurology | 200 Old Country Rd, Suite 370, Mineola, NY 11501-4235 | 2015-04-03 |
| Street Address |
200 OLD COUNTRY RD SUITE 135 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359341 | Joan Aiello | Nurse Practitioner | 200 Old Country Rd, Mineola, NY 11501-4235 | 2005-07-13 |
| 1598323230 | Nyu Langone Hospitals | Clinic/Center | 200 Old Country Rd, Mineola, NY 11501-4235 | 2019-05-29 |
| 1790282044 | David Elsharouny | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2018-04-11 |
| 1376078998 | Nadine Ninivaggi | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2017-04-21 |
| 1740712793 | Navinder Kaur Nat | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2017-03-29 |
| 1447792908 | Heather Gionesi | Nurse Practitioner | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-11-14 |
| 1609238781 | Benjamin Little | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-28 |
| 1487016507 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-03-28 |
| 1134581465 | Amy Hassan | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-25 |
| 1760842637 | Kellianne Tulley | Physician Assistant | 200 Old Country Rd, Mineola, NY 11501-4235 | 2016-03-04 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1578724787 | John Manning Carson | Internal Medicine | 200 Old Country Rd Ste 135, Mineola, NY 11501-4237 | 2008-06-19 |
| 1255339834 | Madhu Korrapati | Internal Medicine | 300 Old Country Rd, Suite 111, Mineola, NY 11501-4198 | 2005-07-08 |
| 1770988909 | Queens Nassau Nephrology Services Pllc | Internal Medicine | 300 Old Country Road, 111, Mineola, NY 11501-4112 | 2014-10-30 |
| 1780944876 | Vladimir Liberman | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2012-05-22 |
| 1225304496 | Aleksey Etinger | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2012-03-31 |
| 1992934467 | Queens Nassau Nephrology Services Pllc | Internal Medicine | 300 Old Country Road, 111, Mineola, NY 11501-4112 | 2009-07-06 |
| 1962687517 | Winthrop Nephrology Associates, PC | Internal Medicine | 200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 | 2008-01-02 |
| 1538230628 | Joseph Mattana | Internal Medicine | 200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 | 2006-11-13 |
| 1801831763 | Eduard Bover | Internal Medicine | 300 Old Country Rd, Suite 111, Mineola, NY 11501-4198 | 2006-06-17 |
| 1578516563 | Queens Nassau Nephrology Services, P.C. | Internal Medicine | 300 Old Country Rd, Suite 111, Mineola, NY 11501-4112 | 2006-05-18 |
| 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.