Individual provider Active NPI

Michael Ryan Tom, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1639706492
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
327673 Issued in NY
Practice address
55 Washington St Ste 312B
Brooklyn, NY 11201-1179
Phone
(718) 218-5127
Fax
(718) 957-8734
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 327673 NY Primary

Addresses

Primary practice location

55 Washington St Ste 312B
Brooklyn, NY 11201-1179

Mailing address

8620 18TH Ave
Brooklyn, NY 11214-3702

Other practice location 1

26 Court St
Brooklyn, NY 11242-0103
Phone (718) 218-5127

Other practice location 2

8620 18th Ave
Brooklyn, NY 11214-3702
Phone (718) 256-8818

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
I20251029000260 NY Practitioner - Psychiatry 4981149937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Harvard Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Washington St
Suite 312B
Brooklyn, NY 11201-1179

777 Seaview Ave
Staten Island, NY 10305-3409

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health CurrentSince Sep 12, 2025 Accepting new patients
Michael Tom MD PLLC Psychiatry CurrentSince Sep 12, 2025 Accepting new patients
Nys Office of Mental Health CurrentSince Sep 12, 2025 Accepting new patients

Locations

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

55 Washington St
Ste 312B
Brooklyn, NY 11201
Phone (646) 321-5549

777 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-2300

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

Organizations & group practices 3

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1639706492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WASHINGTON ST STE 312B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011179",
            "telephone_number": "718-218-5127",
            "fax_number": "718-957-8734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112420103",
            "country_code": "US",
            "telephone_number": "718-218-5127",
            "fax_number": "718-957-8734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8620 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143702",
            "country_code": "US",
            "telephone_number": "718-256-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOM",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "327673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.