Organization Active NPI

Nanette Alexander-Thomas MD

  • Medical Specialty Clinic/Center
  • Staten Island, NY
National Provider Identifier
1255663001
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
173779 Issued in NY
Legal business name
NANETTE ALEXANDER-THOMAS MD
Practice address
682 Forest Ave
Staten Island, NY 10310-2507
Phone
(718) 727-0020
Fax
(718) 876-1393
NPI assigned
Feb 4, 2010
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Nanette Laurie Alexander-Thomas, MD
Title
Medical Physician
Phone
(718) 727-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 173779 NY Primary

Addresses

Primary practice location

682 Forest Ave
Staten Island, NY 10310-2507

Mailing address

682 Forest Ave
Staten Island, NY 10310-2507
Phone (718) 727-0020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1255663001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102507",
            "telephone_number": "718-727-0020",
            "fax_number": "718-876-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102507",
            "telephone_number": "718-727-0020",
            "fax_number": "718-876-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANETTE ALEXANDER-THOMAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER-THOMAS",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_middle_name": "LAURIE",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "718-727-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "173779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.