Active NPI
Antoinette D Moore-Thomas, FNP -BC
- Family Nurse Practitioner
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F346460-01
- Practice address
- 55 Cold Spring Rd
Syosset, NY 11791-3108 - Phone
- (866) 389-2727
- NPI assigned
- Apr 7, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 603601-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | F346460-01 | NY | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406967 | NY |
Addresses
Primary practice location
55 Cold Spring Rd
Syosset, NY 11791-3108
Mailing address
55 Cold Spring Rd
Syosset, NY 11791-3108
Phone (866) 389-2727
Other practice location 1
204 Powell Ave
Central Islip, NY 11722-2506
Phone (631) 626-4264
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 Park Ave
Babylon, NY 11702-1708
Phone (631) 502-7938
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603601-1 | NY | MD | Registered Nurse |
| F346460-01 | NY | MD | Family Nurse Practitioner |
| 406967 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie Marino MD PLLC | Current | Accepting new patients | |
| Thomascares LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Theralympic Speech Therapy PLLC | Current | Accepting new patients | |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| South Lake Chiropractic P.C. | Current | Accepting new patients | |
| County of Suffolk | Current | Accepting new patients |
Locations
50 Park Ave
Babylon, NY 11702
Phone (631) 422-4234
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579
55 Cold Spring Rd
Syosset, NY 11791
Phone (516) 921-5910
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Babylon, NY
- NPI 1356927693
-
- Psychiatric/Mental Health Nurse Practitioner
- Central Islip, NY
- NPI 1295600948
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Methadone Clinic
- Riverhead, NY
- NPI 1386748598
-
- Chiropractor
- Babylon, NY
- NPI 1679640775
-
- Early Intervention Provider Agency
- Ronkonkoma, NY
- NPI 1730665043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1104244128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COLD SPRING RD",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913108",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 COLD SPRING RD",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913108",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "204 Powell Ave",
"address_purpose": "LOCATION",
"city": "Central Islip",
"state": "NY",
"postal_code": "117222506",
"country_code": "US",
"telephone_number": "631-626-4264",
"fax_number": "631-532-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE-THOMAS",
"first_name": "ANTOINETTE",
"middle_name": "D",
"credential": "FNP -BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "603601-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F346460-01",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "406967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.