Domenico Tolomeo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

017919 Issued in NY

Practice address

102 Park Ave
Yonkers, NY 10703-2934

Phone

(914) 965-4300

NPI assigned

Oct 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1801290390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KIRKMAN AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033119",
            "telephone_number": "516-351-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032934",
            "telephone_number": "914-965-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLOMEO",
        "first_name": "DOMENICO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Tiso, M.A.
• Daisy Beth Titus, NP-C, FNP, DNP
• TL Biologics Inc.
• Kunimi F Togashi-Ehresmann, APRN-BC
• Moshiyakh Tokov
• Michael B Tom, M.D.
• Toni Ann Tomanelli, MD
• Miki Tomaru, B.A
• Anne Theresa Tombolillo, LPN
• Lynn Marie Tomilowicz, R.D.

• Medical Physician Assistant in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.

Verify at the official NPI Registry.