Thomas Collin Patrie, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052149 Issued in NY

Practice address

3250 Nesconset Hwy
Setauket, NY 11733-3320

Phone

(631) 689-9719

Fax

(631) 689-9730

NPI assigned

Oct 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1023206448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E MAIN ST",
            "address_2": "SUITE 109",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872982",
            "telephone_number": "631-361-3577",
            "fax_number": "631-361-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 NESCONSET HWY",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117333320",
            "telephone_number": "631-689-9719",
            "fax_number": "631-689-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIE",
        "first_name": "THOMAS",
        "middle_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Papandrea, PHARMD
• Alyse Jane Parise, LCSW
• Geanna Marie Partland, M.ED., BCBA
• Passages Wellness & Counseling for Women
• Susmita Pati, M.D.
• Michele Perigaut, PH.D.
• Georgeanna Christina Piazza, LMT
• Nicole J Piervencenti, LMHC
• Allison M Pinard, M.A., ATC, EMT-B
• Nicole Paige Polimeni, PA-C

• General Practice Dentistry in Setauket, NY
• Providers in Setauket, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.