Active NPI
Anthony Tomasso, DO PLLC
- Family Medicine Physician
- Shirley, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 185350
- Legal business name
- ANTHONY TOMASSO, DO PLLC
- Practice address
- 2 Coraci Blvd
Ste #4
Shirley, NY 11967-4833 - Phone
- (631) 281-8670
- Fax
- (631) 281-8242
- NPI assigned
- Jun 3, 2008
- Last updated
- Jun 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Tomasso, DO
- Title
- Physician
- Phone
- (631) 281-8670
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 185350 | NY | Primary |
Addresses
Primary practice location
2 Coraci Blvd
Ste #4
Shirley, NY 11967-4833
Mailing address
2 Coraci Blvd
Ste #4
Shirley, NY 11967-4833
Phone (631) 281-8670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0160626 | Anthony Tomasso DO | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2 Coraci Blvd
Ste 4
Shirley, NY 11967
Phone (631) 281-8670
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Shirley, NY
- NPI 1962408708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1306005699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CORACI BLVD",
"address_2": "STE #4",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674833",
"telephone_number": "631-281-8670",
"fax_number": "631-281-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CORACI BLVD",
"address_2": "STE #4",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674833",
"telephone_number": "631-281-8670",
"fax_number": "631-281-8242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY TOMASSO, DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "TOMASSO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "631-281-8670",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "185350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.