Active NPI
Nina A. Tomei, MD
- Pediatric Adolescent Medicine Physician
- Huntington, NY
National Provider Identifier
1043220460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 179589-1
- Practice address
- 775 Park Avenue
Suite 125
Huntington, NY 11743 - Phone
- (631) 659-4000
- Fax
- (631) 659-4048
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 179589-1 | NY | Primary |
Addresses
Primary practice location
775 Park Avenue
Suite 125
Huntington, NY 11743
Mailing address
775 Park Avenue
Suite 125
Huntington, NY 11743
Phone (631) 659-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2C4842 | Other | NY | HEALTHNET |
| CP153 | Other | NY | OXFORD |
| 01237801 | Medicaid | NY | |
| 2698164 | Other | NY | GHI |
| 54751N | Other | NY | BLUE CROSS/ BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179589-1 | NY | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwell Health | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients |
Locations
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
241 E Main St
Huntington, NY 11743
Phone (631) 351-3700
775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595
775 Park Ave
Ste 125
Huntington, NY 11743
Phone (631) 271-2222
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ninatomei@northwell.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
-
- Gastroenterology Physician
- Huntington, NY
- NPI 1164623278
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
-
- Rehabilitation Hospital Unit
- Glen Cove, NY
- NPI 1619336260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043220460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 PARK AVENUE",
"address_2": "SUITE 125",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-659-4000",
"fax_number": "631-659-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PARK AVENUE",
"address_2": "SUITE 125",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-659-4000",
"fax_number": "631-659-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMEI",
"first_name": "NINA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "179589-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C4842",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "CP153",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01237801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2698164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "54751N",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.