Active NPI
Anthoney Mark Thomas, MS IN EDUCATION
- Specialist
- Brooklyn, NY
National Provider Identifier
1033464540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1741122
- Practice address
- 1424 E 101St St
Brooklyn, NY 11236-5508 - Phone
- (347) 792-7361
- NPI assigned
- Jul 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1741122 | NY | Primary |
Addresses
Primary practice location
1424 E 101St St
Brooklyn, NY 11236-5508
Mailing address
1424 East 101St Street
Brooklyn, NY 11236
Phone (347) 792-7361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1741122 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1741122 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1033464540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 EAST 101ST STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11236",
"telephone_number": "347-792-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 E 101ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365508",
"telephone_number": "347-792-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ANTHONEY",
"middle_name": "MARK",
"credential": "MS IN EDUCATION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1741122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1741122",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.