Individual provider Active NPI

Thara Foreste, MD

  • Family Medicine Physician
  • Manhasset, NY
National Provider Identifier
1508986571
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
295586-1 Issued in NY
Practice address
300 Community Dr
Manhasset, NY 11030
Phone
(516) 562-2993
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 295586-1 NY Primary

Addresses

Primary practice location

300 Community Dr
Manhasset, NY 11030

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740
Phone (516) 876-5555

Other practice location 1

5600 Sunrise Hwy
Sayville, NY 11782-1017
Phone (631) 563-7828

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307001634 NY Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospitalist 6002825494 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist, Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronxcare Health SystemGroup PAC ID 3870404429, 335 clinicians
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

1265 Franklin Ave
Bronx, NY 10456-3501

1650 Grand Concourse
Bronx, NY 10457-7606

1869 Brentwood Rd
Brentwood, NY 11717-4625
Phone (631) 416-5480

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
009250NYMDOptometrist
295586-1NYMDLicensed Practical Nurse
003845GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Single Specialty CurrentSince Apr 29, 2019 Accepting new patients
Sun River Health Inc. Single Specialty CurrentSince Jan 15, 2019 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince May 12, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Single Specialty Current Accepting new patients
Southwest Suffolk Medical PC Family Medicine CurrentSince Sep 19, 2025 Accepting new patients
Sun River Health Inc Single Specialty Current Accepting new patients
Vital Medical Care Aesthetics P.C. Single Specialty CurrentSince Jul 6, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 29, 2019 Accepting new patients
Bronxcare Health System CurrentSince Dec 30, 2023 Accepting new patients
Bronxcare Health System Single Specialty CurrentSince Dec 30, 2023 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

1869 Brentwood Rd
Brentwood, NY 11717
Phone (631) 416-5480

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

300 Community Dr
Plandome, NY 11030

5600 Sunrise Hwy
Sayville, NY 11782
Phone (631) 563-7828

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: thara.foreste@hrh.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/8212/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1508986571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-876-5555",
            "fax_number": "516-876-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-562-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Sayville",
            "state": "NY",
            "postal_code": "117821017",
            "country_code": "US",
            "telephone_number": "631-563-7828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORESTE",
        "first_name": "THARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295586-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.