Active NPI
Mark Thomas
- Family Nurse Practitioner
- Plainview, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F352368-01
- Practice address
- 255 Executive Dr Ste 210B
Plainview, NY 11803-1711 - Phone
- (833) 433-2273
- NPI assigned
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F352368-01 | NY | Primary |
Addresses
Primary practice location
255 Executive Dr Ste 210B
Plainview, NY 11803-1711
Mailing address
255 Executive Dr Ste 210B
Plainview, NY 11803-1711
Phone (833) 433-2273
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Somerset St
Huntington Station, NY 11746-8411
Phone (631) 271-3075
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 705-2689
270 Union Ave
Holbrook, NY 11741-1823
Phone (631) 271-3075
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
Hospital & facility affiliations
- St Catherine of Siena Hospital
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F352368-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Medical of New York PLLC | Current | Accepting new patients | |
| Sumaiyah Medical PC | Current | Accepting new patients | |
| Samaritan Medical Services, P.C. | Current | Accepting new patients | |
| Infinite Medical PC | Current | Accepting new patients |
Locations
250 Skillman St
Ste 202
Brooklyn, NY 11205
11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754
270 Union Ave
Holbrook, NY 11741
Phone (631) 588-4442
1 Somerset St
Huntington Station, NY 11746
Phone (631) 271-3075
255 Executive Dr
Ste 210B
Plainview, NY 11803
Phone (516) 687-9563
10 Maple St
Prt Washingtn, NY 11050
Phone (917) 746-5942
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- Urgent Care Clinic/Center
- Huntington Station, NY
- NPI 1508151820
-
- Primary Care Clinic/Center
- Plainview, NY
- NPI 1770230039
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1649959487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 EXECUTIVE DR STE 210B",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031711",
"telephone_number": "833-433-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 EXECUTIVE DR STE 210B",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031711",
"telephone_number": "833-433-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F352368-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.