Individual provider Active NPI

Shashai Tamara Thomas, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1386072676
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350431 Issued in NY
Practice address
1495 E 28TH St Apt 2D
Brooklyn, NY 11229-1872
Phone
(954) 913-5275
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 310754-1 NY
Family Nurse Practitioner 363LF0000X F350431 NY Primary

Addresses

Primary practice location

1495 E 28TH St Apt 2D
Brooklyn, NY 11229-1872

Mailing address

360 E 137TH St Apt 17D
Bronx, NY 10454-3912
Phone (646) 841-5103

Other practice location 1

360 E 137th St Apt 17D
Bronx, NY 10454-3912
Phone (646) 841-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240902000291 PA Practitioner - Nurse Practitioner 7113371311 Reassigns benefits to 2 organizations
I20250214003128 NJ Practitioner - Nurse Practitioner 7113371311 Reassigns benefits to 1 organization
I20251129000179 NY Practitioner - Nurse Practitioner 7113371311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

51 E 125TH St
2ND Floor
New York, NY 10035-1688

51 E 125TH St
FRNT 2
New York, NY 10035-1687

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
310754-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jul 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 18, 2024 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 23, 2025 Accepting new patients
E & a Medical Solutions LLC CurrentSince Oct 10, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

250 Skillman St
Ste 202
Brooklyn, NY 11205

51 E 125th St
Frnt 2
New York, NY 10035
Phone (646) 585-1515

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1386072676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 137TH ST APT 17D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543912",
            "telephone_number": "646-841-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 E 28TH ST APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291872",
            "telephone_number": "954-913-5275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 E 137th St Apt 17D",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104543912",
            "country_code": "US",
            "telephone_number": "646-841-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHASHAI",
        "middle_name": "TAMARA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310754-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.