Thomas Panetta MD Vascular Surgery PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

1379781 Issued in NY

Legal business name

THOMAS PANETTA MD VASCULAR SURGERY PLLC

Practice address

600 Northern Blvd
Suite 115
Great Neck, NY 11021

Phone

(516) 482-8220

Fax

(516) 482-8221

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Jennifer Byrnes

Title

Billing Manager

Phone

(516) 482-8220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafik Raymond Moufid, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1184887101
  NPD
• Thomas Panetta, MD

  • Vascular Surgery Physician
  • Great Neck, NY
  • NPI 1184601072
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1760640619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 115",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-482-8220",
            "fax_number": "516-482-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 115",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-482-8220",
            "fax_number": "516-482-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PANETTA MD VASCULAR SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-482-8220"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "1379781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00799404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy Matters
• Therapy Services of Greater New York
• Therapy Services of Greater New York
• Lynne Thies, PH.D.
• Thomas M. Mauri, MD, PC
• Demi Thomas, MOT
• Roy Thomas
• Thoracic Surgical PC
• Thoracicsurgical Specialist PC
• Jaclyn Thoresz, N.P.

• Vascular Surgery Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.