Roy Thomas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50575741 Issued in NY

Practice address

18 Prospect St
Great Neck, NY 11021-3817

Phone

(516) 244-2376

NPI assigned

Feb 25, 2010

Last updated

Feb 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Shield of David, Inc.

  dba The Shield Institute

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290
  NPD (past)

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1629390075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PROSPECT ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213817",
            "telephone_number": "516-244-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PROSPECT ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213817",
            "telephone_number": "516-244-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "50575741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Services of Greater New York
• Lynne Thies, PH.D.
• Thomas M. Mauri, MD, PC
• Thomas Panetta MD Vascular Surgery PLLC
• Demi Thomas, MOT
• Thoracic Surgical PC
• Thoracicsurgical Specialist PC
• Jaclyn Thoresz, N.P.
• Mareena Thottam
• Alexandra Thrasher

• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.