Wilson Thomas, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342773 Issued in NY

Practice address

525 E 68TH St Ste M-404
New York, NY 10065-4870

Phone

(212) 746-0341

NPI assigned

Mar 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: thomas.wilson.1@24989.direct.athenahealth.com
• Direct secure messaging: wit9038@direct.nyp.org

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1861994881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 TYSENS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST STE M-404",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "884 Tysens Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103065612",
            "country_code": "US",
            "telephone_number": "917-414-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "884 Tysens Lane",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10306",
            "country_code": "US",
            "telephone_number": "917-414-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "884 Tysens Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103065612",
            "country_code": "US",
            "telephone_number": "917-414-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "884 Tysens Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103065612",
            "country_code": "US",
            "telephone_number": "917-414-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WILSON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "690140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twanikqua Thomas, LPN
• Valencia Thomas, LMSW
• Veena S Thomas
• Vivek Thomas, FNP-BC
• Vivienne Elaine Thomas, LPN
• Yolanda Michelle Thomas, PH.D.
• Yuly Elizabeth Thomas
• Megan Thomasch, MD
• Byron M. Thomashow, MD
• Nicole Thomasian, MD

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.