Provider Demographics
NPI:1568436699
Name:NYU WINTHROP HOSPITAL
Entity Type:Organization
Organization Name:NYU WINTHROP HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:516-663-0333
Mailing Address - Street 1:290 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4107
Mailing Address - Country:US
Mailing Address - Phone:516-663-8077
Mailing Address - Fax:516-663-9489
Practice Address - Street 1:290 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4107
Practice Address - Country:US
Practice Address - Phone:516-663-8077
Practice Address - Fax:516-663-9489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINTHROP UNIVERSITY HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2908901L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00244211Medicaid
NY=========OtherFED ID #
NY00244211Medicaid