Organization Active NPI

Thomascares LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Central Islip, NY
National Provider Identifier
1295600948
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
THOMASCARES LLC
Practice address
204 Powell Ave
Central Islip, NY 11722-2506
Phone
(631) 626-4264
NPI assigned
Oct 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Antoinette Deanna Moore-Thomas, PMHNP-BCNPI 1104244128
Title
NP Owner
Phone
(631) 626-4264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

204 Powell Ave
Central Islip, NY 11722-2506

Mailing address

204 Powell Ave
Central Islip, NY 11722-2506
Phone (631) 260-6254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417001105 NY Part B Supplier - Clinic/Group Practice 3971079831 Receives reassigned benefits from 1 practitioner
Practice locations: Central Islip, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1295600948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 POWELL AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222506",
            "telephone_number": "631-260-6254",
            "fax_number": "631-323-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 POWELL AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222506",
            "telephone_number": "631-626-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASCARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "MOORE-THOMAS",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "DEANNA",
        "authorized_official_title_or_position": "NP OWNER",
        "authorized_official_telephone_number": "631-626-4264",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.