Active NPI
Barbara C Tommasulo, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 173288
- Practice address
- 900 Franklin Ave
Orzac Center for Extended Care and Rehabilitation
Valley Stream, NY 11580-2145 - Phone
- (516) 256-6551
- Fax
- (516) 256-6143
- NPI assigned
- Jul 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 173288 | NY | Primary |
Addresses
Primary practice location
900 Franklin Ave
Orzac Center for Extended Care and Rehabilitation
Valley Stream, NY 11580-2145
Mailing address
900 Franklin Ave
Orzac Center for Extended Care and Rehabilitation
Valley Stream, NY 11580-2145
Phone (516) 256-6551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01403983 | Medicaid | NY | |
| 16F031 | Other | NY | PROVIDER |
| 173288 | Other | NY | HIP OF NEW YORK-HEALTH PL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000
972 Brush Hollow Rd
Westbury, NY 11590
378 Syosset Woodbury Rd
Woodbury, NY 11797
Phone (516) 622-7784
Organizations & group practices 1
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1255330890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FRANKLIN AVE",
"address_2": "ORZAC CENTER FOR EXTENDED CARE AND REHABILITATION",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802145",
"telephone_number": "516-256-6551",
"fax_number": "516-256-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FRANKLIN AVE",
"address_2": "ORZAC CENTER FOR EXTENDED CARE AND REHABILITATION",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802145",
"telephone_number": "516-256-6551",
"fax_number": "516-256-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMMASULO",
"first_name": "BARBARA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-16",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "173288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01403983",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "16F031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP OF NEW YORK-HEALTH PL",
"identifier": "173288",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.