Individual provider Active NPI

Jeffrey Robert Thompson, DO

  • Orthopaedic Surgery of the Spine Physician
  • Massapequa, NY
National Provider Identifier
1265895213
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
311243 Issued in NY
Practice address
5500 Merrick Rd
Massapequa, NY 11758-6231
Phone
(516) 795-3033
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 311243 NY Primary

Addresses

Primary practice location

5500 Merrick Rd
Massapequa, NY 11758-6231

Mailing address

5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 795-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210621003394 MA Practitioner - Orthopedic Surgery 4082950852 Reassigns benefits to 1 organization
I20220920000616 NY Practitioner - Orthopedic Surgery 4082950852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Eileen Way
Syosset, NY 11791-5302

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion39
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC Multi-Specialty CurrentSince Jul 18, 2024 Accepting new patients
Nassau Health Care Corporation Multi-Specialty Current Accepting new patients
Orthopaedics Spine and Sports Medicine, LLC Orthopaedic Surgery of the Spine Current Accepting new patients
Orthopaedics Spine and Sports Medicine LLC Multi-Specialty CurrentSince Aug 24, 2022 Accepting new patients
Nassau Health Care Corporation Multi-Specialty CurrentSince Jan 12, 2023 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC Multi-Specialty CurrentSince Aug 24, 2022 Accepting new patients
Orthopaedic Clinical Assoc Inc. Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Nassau Health Care Corporation Multi-Specialty CurrentSince Jan 12, 2023 Accepting new patients

Locations

91 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 754-6742

2510 Westchester Ave
Ste 100
Bronx, NY 10461
Phone (718) 684-4677

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jeffreythompson@ossm.allscriptsdirect.net
  • Direct secure messaging: jthompson4171245@nychhc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1265895213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-795-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-795-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "311243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.