Individual provider Active NPI

Thomas McCurdy, NURSE PRACTITIONER

  • Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1003568841
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
310415 Issued in NY
Practice address
2721 44TH Dr Apt 205
Long Island City, NY 11101-3024
Phone
(917) 297-6949
NPI assigned
Jan 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01244100 NJ
Nurse Practitioner 363L00000X 12.009763 CT
Nurse Practitioner 363L00000X 11013353 FL
Nurse Practitioner 363L00000X 310415 NY Primary

Addresses

Primary practice location

2721 44TH Dr Apt 205
Long Island City, NY 11101-3024

Mailing address

2721 44TH Dr Apt 205
Long Island City, NY 11101-3024
Phone (917) 297-6949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MD, DC, ME5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220607001086 NY Practitioner - Nurse Practitioner 0648658401 Reassigns benefits to 1 organization
I20240214002081 NJ Practitioner - Nurse Practitioner 0648658401 Reassigns benefits to 1 organization
I20250319003672 MD Practitioner - Nurse Practitioner 0648658401
I20250617000198 DC Practitioner - Nurse Practitioner 0648658401 Reassigns benefits to 1 organization
I20260331001438 ME Practitioner - Nurse Practitioner 0648658401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12.009763CTMDNurse Practitioner
11013353FLMDNurse Practitioner
26NJ01244100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 27, 2022 Accepting new patients
New York University CurrentSince Apr 27, 2022 Accepting new patients
Aspire Health Medical Partners of Middle Tennessee PC PastSince Jun 26, 2020 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24009/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tmccurdy3577007@nychhc.direct-ci.com
  • Direct secure messaging: tmccurdy20695@carelonhealth.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1003568841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 44TH DR APT 205",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013024",
            "telephone_number": "917-297-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 44TH DR APT 205",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013024",
            "telephone_number": "917-297-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "THOMAS",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01244100",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12.009763",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013353",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "310415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.