Individual provider Active NPI

David Sanni-Thomas, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1710122759
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
246692 Issued in NY
Practice address
5006 Avenue N
Brooklyn, NY 11234-3806
Phone
(718) 209-1072
Fax
(718) 209-1853
NPI assigned
Dec 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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 246692 NY Primary

Addresses

Primary practice location

5006 Avenue N
Brooklyn, NY 11234-3806

Mailing address

5006 Avenue N
Brooklyn, NY 11234-3806
Phone (718) 209-1072

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
I20120619000405 NY Practitioner - Family Practice 9133383367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical PC Dba Emergency OneGroup PAC ID 0648161653, 22 clinicians

Practice addresses (Care Compare)

2555 S Rd
Poughkeepsie, NY 12601-5393
Phone (845) 330-3200

306 Windsor Hwy
New Windsor, NY 12553-6908
Phone (845) 787-1400

40 Hurley Ave
Suite 4
Kingston, NY 12401-3738
Phone (845) 338-5600

4274 Albany Post Rd
Hyde Park, NY 12538-1718
Phone (845) 229-2602

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical P.C. Dba Emergency One CurrentSince May 28, 2012 Accepting new patients
Chenango Memorial Hospital, Inc. Family Medicine PastSince Oct 19, 2015 Accepting new patients

Locations

40 Hurley Ave
Ste 4
Kingston, NY 12401
Phone (845) 338-5600

Organizations & group practices 2

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1710122759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343806",
            "telephone_number": "718-209-1072",
            "fax_number": "718-209-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343806",
            "telephone_number": "718-209-1072",
            "fax_number": "718-209-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNI-THOMAS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "246692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.