Thomas F Florez, AGNP
Individual provider Active NPI Adult Health Nurse Practitioner · West Islip, NY
NPI 1154955086 · NPPES record last updated Feb 29, 2020
Key facts
- NPI
- 1154955086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 309579 (NY)
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 376-3000
- NPI assigned
- Feb 29, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Services PC
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
Hospital & facility affiliations
- Good Samaritan Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210323002614 | NY | Practitioner - Nurse Practitioner | 5991112724 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309579 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Emergency Medical Services, P.C. | Current |
Accepting new patients | |
| Samaritan Medical Services, P.C. | Current |
Accepting new patients | |
| Island Emergency Medical Services, P.C. | Current |
Accepting new patients | |
| Siena Emergency Medical Services, P.C. | Current |
Accepting new patients |
Locations
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309579 | NY | Yes |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
25 Waterman St
Babylon, NY 11702-2018
Phone (631) 707-0743
Other providers in West Islip, NY
- Debra Sue Fisher
- Steven Marc Fishman
- Gail Fitzgerald
- Kaila Marie Fitzgerald
- Margaret Fiumano
- Maria Marykate Florian
- Jessica Marie Foos
- Alison Jane Fortune
- Sarah Frampton
- Toni Francavilla - Klingler
All providers in West Islip, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.