Individual provider Active NPI

Thomas John D'Amico, D.O.

  • Family Medicine Physician
  • Centerport, NY
National Provider Identifier
1659426468
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223938 Issued in NY
Practice address
7 Bittersweet CT
Centerport, NY 11721-1765
Phone
(631) 681-4550
NPI assigned
Jan 24, 2007
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223938 NY Primary

Addresses

Primary practice location

7 Bittersweet CT
Centerport, NY 11721-1765

Mailing address

7 Bittersweet CT
Centerport, NY 11721-1765
Phone (631) 681-4550

Other identifiers 2

IdentifierTypeStateIssuer
2583273MedicaidNY
OP-CFP-223938-2OtherNYWORKERS COMPENSATION

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
I20040421001437 NY Practitioner - Family PracticePractitioner - Hospitalist 6800882275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223938NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
CHS Physician Partners, P.C CurrentSince Mar 1, 2022 Accepting new patients
Huntington Hospital Association Current Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Huntington Hospital Association CurrentSince Sep 24, 2013 Accepting new patients
CHS Physician Partners, PC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Southwest Suffolk, P.C Family Medicine CurrentSince Oct 5, 2025 Accepting new patients
Southwest Suffolk Medical PC Family Medicine CurrentSince Oct 5, 2025 Accepting new patients
Huntington Hospital Association CurrentSince Sep 24, 2013 Accepting new patients
Samaritan Medical Services, P.C. Past Accepting new patients
Island Urgent Medical Care, P.C. Family Medicine Past Accepting new patients
St. Catherine of Siena Medical Center Past Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Manhasset, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

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

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

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

786 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-6075

972 Brush Hollow Rd
Westbury, NY 11590

1556 Straight Path
Wyandanch, NY 11798
Phone (516) 214-8020

Networks

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

Organizations & group practices 13

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.

View all 13

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1659426468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BITTERSWEET CT",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211765",
            "telephone_number": "631-681-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BITTERSWEET CT",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211765",
            "telephone_number": "631-681-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583273",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "OP-CFP-223938-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

Verify at the official NPI Registry.