Individual provider Active NPI

Thomas B Verme, MD

  • Family Medicine Physician
  • Newark, NY
National Provider Identifier
1821032715
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220081 Issued in NY
Practice address
150 Van Buren St
Newark, NY 14513-1238
Phone
(315) 331-7741
Fax
(315) 331-0566
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 220081 NY Primary

Addresses

Primary practice location

150 Van Buren St
Newark, NY 14513-1238

Mailing address

150 Van Buren St
Newark, NY 14513-1238
Phone (315) 331-7741

Other practice location 1

1850 Brighton Henrietta Town Line Rd
Folsom Health Center
Rochester, NY 14623
Phone (585) 424-6210

Other identifiers 1

IdentifierTypeStateIssuer
00355266MedicaidNY

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
I20040916000623 NY Practitioner - Family Practice 1052388170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc.Group PAC ID 0840380044, 15 clinicians

Practice addresses (Care Compare)

150 Van Buren St
Newark, NY 14513-1238
Phone (315) 331-7741

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220081NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc. CurrentSince Apr 1, 2011 Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

215 Washington St
Albion, NY 14411
Phone (585) 490-2080

150 Van Buren St
Newark, NY 14513
Phone (315) 331-7741

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1821032715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131238",
            "telephone_number": "315-331-7741",
            "fax_number": "315-331-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131238",
            "telephone_number": "315-331-7741",
            "fax_number": "315-331-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Brighton Henrietta Town Line Rd",
            "address_2": "Folsom Health Center",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14623",
            "country_code": "US",
            "telephone_number": "585-424-6210",
            "fax_number": "585-424-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERME",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.