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GREENPORT PRIMARY MEDICAL CARE
NPI 1932564630
Internal Medicine in Greenport, NY

Active since December 22, 2015CLIA 33D0160583 · Waiver
74825 MAIN RD, GREENPORT, NY 11944(631) 477-7120(631) 477-2983 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greenport Primary Medical Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENPORT PRIMARY MEDICAL CARE (NPI 1932564630) is a healthcare organization registered as an internal medicine in Greenport, New York and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Philip Ragno, Co-president, as its authorized official.

NPPES Registry Identity

NPI1932564630
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWINTHROP COMMUNITY MEDICAL AFFILIATES, PC
Location Address74825 MAIN RDGreenport, NY 11944-2823
Mailing Address700 Hicksville Rd, Suite 204Bethpage, NY 11714-3471 · (516) 576-5822 · Fax (516) 576-5801
Phone(631) 477-7120
Fax(631) 477-2983
Organization SubpartNo
Authorized OfficialPhilip RagnoCo-president · (516) 877-2629
Enumeration DateDecember 22, 2015
✔ NPI 1932564630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
74825 MAIN RD, Greenport, NY 11944
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Other Names 1

Doing Business AsGreenport Primary Medical Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0160583

Winthrop Community Medical Affiliates PC · Greenport, NY
Active · expires Mar 26, 2027
CLIA Number33D0160583
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Anthony P. Zollo
Laboratory Phone(631) 477-0070
Laboratory LocationWinthrop Community Medical Affiliates PC74825 Main Rd - Suite 2, Greenport, NY 11944
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER M. ETEN RPA-C
Physician Assistant
74825 MAIN RD
GREENPORT, NY 11944
Suffolk County (631) 477-1720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Winthrop Community Medical Affiliates, PC's NPI number?

The NPI number for Winthrop Community Medical Affiliates, PC is 1932564630. It was assigned to this organization in the NPPES registry on December 22, 2015. The provider is doing business as Greenport Primary Medical Care.

Where is Winthrop Community Medical Affiliates, PC located?

Winthrop Community Medical Affiliates, PC is located at 74825 Main Rd, Greenport, NY 11944. The listed phone number is (631) 477-7120.

What is Winthrop Community Medical Affiliates, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Winthrop Community Medical Affiliates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0160583) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Winthrop Community Medical Affiliates, PC was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.