Individual provider Active NPI

Thinlay Dolma, AGNP

  • Adult Health Nurse Practitioner
  • Whitestone, NY
National Provider Identifier
1518555986
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309316-01 Issued in NY
Practice address
15153 Willets Point Blvd
Whitestone, NY 11357-3742
Phone
(347) 527-6331
NPI assigned
Jan 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F309316-01 NY
Primary Care Nurse Practitioner 363LP2300X F309316-01 NY
Adult Health Nurse Practitioner 363LA2200X F309316-01 NY Primary

Addresses

Primary practice location

15153 Willets Point Blvd
Whitestone, NY 11357-3742

Mailing address

15153 Willets Point Blvd
Whitestone, NY 11357-3742
Phone (347) 527-6331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thinlay.dolma@mountsinai.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320000025 NY Practitioner - Nurse Practitioner 1658855325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850

111 E 77TH St
New York, NY 10075-1850
Phone (212) 434-3966

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F309316-01NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: thinlaydolma@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: tdolma28619@northwell.direct-ci.com

Organizations & group practices 1

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": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1518555986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15153 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573742",
            "telephone_number": "347-527-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15153 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573742",
            "telephone_number": "347-527-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLMA",
        "first_name": "THINLAY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F309316-01",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F309316-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309316-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thinlay.dolma@mountsinai.org",
            "affiliation": "N",
            "address_1": "15153 Willets Point Blvd",
            "city": "Whitestone",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113573742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.