Active NPI
Myo Thant, M.D.
- Pediatrics Physician
- Elmhurst, NY
National Provider Identifier
1689671851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 212485
- Practice address
- 8605 51St Ave
Elmhurst, NY 11373-3921 - Phone
- (718) 361-6038
- Fax
- (718) 760-0799
- NPI assigned
- Jul 4, 2005
- Last updated
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 212485 | NY | Primary |
Addresses
Primary practice location
8605 51St Ave
Elmhurst, NY 11373-3921
Mailing address
4295 Hampton St
Elmhurst, NY 11373-3460
Phone (718) 361-6038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02190178 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212485 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Pediatrics | Current | Accepting new patients |
| Myo Thant MD PLLC | Past | Accepting new patients |
Locations
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
- Primary Care Clinic/Center
- Elmhurst, NY
- NPI 1790143147
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1689671851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4295 HAMPTON ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733460",
"telephone_number": "718-361-6038",
"fax_number": "718-760-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8605 51ST AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733921",
"telephone_number": "718-361-6038",
"fax_number": "718-760-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THANT",
"first_name": "MYO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-04",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "212485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02190178",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.