Individual provider Active NPI

Thomise MJ Cadet

  • Licensed Practical Nurse
  • Springfield Gardens, NY
National Provider Identifier
1104519040
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
286897-01 Issued in NY
Practice address
14715 226TH St # 2
Springfield Gardens, NY 11413-4246
Phone
(718) 207-8574
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 286897-01 NY Primary

Addresses

Primary practice location

14715 226TH St # 2
Springfield Gardens, NY 11413-4246

Mailing address

14715 226TH St # 2
Springfield Gardens, NY 11413-4246
Phone (718) 207-8574

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

State licenses

LicenseStateTypeSpecialty
286897-01NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1104519040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 226TH ST # 2",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134246",
            "telephone_number": "718-207-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 226TH ST # 2",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134246",
            "telephone_number": "718-207-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADET",
        "first_name": "THOMISE",
        "middle_name": "MJ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "286897-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.