Active NPI
Shashai Tamara Thomas, NURSE PRACTITIONER
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F350431
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310754-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| E & a Medical Solutions LLC | Current | Accepting new patients | |
| Signify Health Medical Associates of New Jersey, LLC | Current | 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.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1730441791
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.