Active NPI
Thomas Higginbotham, PA
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003759
- Practice address
- 535 E 70TH St
New York, NY 10021-4823 - Phone
- (203) 705-0900
- NPI assigned
- Nov 4, 2016
- Last updated
- Apr 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003759 | CT | Primary |
| Physician Assistant | 363A00000X | 020255-1 | NY |
Addresses
Primary practice location
535 E 70TH St
New York, NY 10021-4823
Mailing address
535 E 70TH St
New York, NY 10021-4823
Other practice location 1
1 Blachley Rd
Stamford, CT 06902-0002
Phone (315) 560-8842
Other practice location 2
5301 W Genesee St
Camillus, NY 13031-2238
Phone (315) 833-9303
Other practice location 3
4000 Medical Center Drive
Suite 115
Fayetteville, NY 13066-1033
Phone (315) 329-2555
Other practice location 4
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thigginbotham78154@direct.HSS.edu | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Blachley Rd
Stamford, CT 06902-0002
Phone (212) 774-7598
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
5100 W Taft Rd
Liverpool, NY 13088-4841
535 E 70TH St
New York, NY 10021-4823
Phone (646) 797-8471
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759 | CT | MD | Mental Health Counselor |
| 003759 | CT | MD | Physician Assistant |
| 020255-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical PC | Past | Accepting new patients |
Interoperability endpoints
- thigginbotham78154@direct.hss.edu
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.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
dba HSS Ortho 1
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1902243488
CT
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1164087334
CT
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSS West Side
- Radiology Clinic/Center
- New York, NY
- NPI 1376032029
Hospital
-
dba HSS Brooklyn Outpatient Center
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1487200408
Hospital
-
dba HSS Hudson Yards
- Radiology Clinic/Center
- New York, NY
- NPI 1801443619
Hospital
-
dba HSS Southampton
- Radiology Clinic/Center
- Southampton, NY
- NPI 1023705803
Hospital
-
dba Hospital for Special Surgery
- General Acute Care Hospital
- New York, NY
- NPI 1598703019
-
dba Hospital for Special Surgery
- Radiology Clinic/Center
- Uniondale, NY
- NPI 1629504501
Hospital
-
dba HSS Paramus - Midland Ave
- General Acute Care Hospital
- Paramus, NJ
- NPI 1447082003
-
dba Hospital for Special Surgery
- General Acute Care Hospital
- Paramus, NJ
- NPI 1184038663
-
dba Hospital for Special Surgery
- Radiology Clinic/Center
- Stamford, CT
- NPI 1821402306
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1861944084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E 70TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214823",
"telephone_number": "203-705-0900"
}
],
"practiceLocations": [
{
"address_1": "1 Blachley Rd",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069020002",
"country_code": "US",
"telephone_number": "315-560-8842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 W Genesee St",
"address_purpose": "LOCATION",
"city": "Camillus",
"state": "NY",
"postal_code": "130312238",
"country_code": "US",
"telephone_number": "315-833-9303",
"fax_number": "315-833-9992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Medical Center Drive",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NY",
"postal_code": "130661033",
"country_code": "US",
"telephone_number": "315-329-2555",
"fax_number": "315-744-1957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132031807",
"country_code": "US",
"telephone_number": "315-448-5111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGGINBOTHAM",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "003759",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020255-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thigginbotham78154@direct.HSS.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214823",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214823",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.