Phong An Thai, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005157 Issued in NY

Practice address

9301 218TH St
Queens Village, NY 11428-1834

Phone

(718) 740-3271

Fax

(718) 740-3653

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: phong.thai@bhcnyc.eclinicaldirectplus.com

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.

• Betances Health Center

  • Registered Nurse
  • New York, NY
  • NPI 1831269273
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1285659227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 218TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281834",
            "telephone_number": "718-740-3271",
            "fax_number": "718-740-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 218TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281834",
            "telephone_number": "718-740-3271",
            "fax_number": "718-740-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "PHONG",
        "middle_name": "AN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01590394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Lynn Velasco Tello, RPT
• Winnie Tema
• Aleksey Ten, MD
• Neil Jason Teves, PT
• Marie Eunide Thadal
• Sherrianne Thane-Brown, LPN
• The Abraham Manberg Organization Corporation
• The Spa Expectations Corporation
• The True Inner You
• The Vine NP Family Health, PLLC

• Foot Surgery Podiatrist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.