Thomas Frederick Jan, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

204322 Issued in NY

Practice address

4200 Sunrise Hwy
Massapequa, NY 11758-5311

Phone

(516) 541-1064

Fax

(516) 798-9070

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and RehabilitationAlso: Addiction Medicine, Pain Management

Education

New York College of Osteo Medicine of New York Institute of Technology, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jeffrey D. Hart, D.O., P.C.Group PAC ID 9638522428, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Jeffrey D. Hart DO PC

  • Orthopaedic Surgery Physician
  • Massapequa, NY
  • NPI 1174399596
  Medicare reassignment Care Compare group NPD
• Jeff Silber MD PC

  • Physical Therapist
  • Massapequa, NY
  • NPI 1790907152
  Medicare reassignment NPD
• John T. Mather Memorial Hospital

  • Psychiatry Physician
  • Port Jefferson Station, NY
  • NPI 1376642371
  Medicare reassignment NPD
• Family and Children'S Association - Hicksville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hicksville, NY
  • NPI 1528159217
  Medicare reassignment
• Family and Children'S Association - Hempstead

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hempstead, NY
  • NPI 1558462671
  NPD
• Family and Children'S Association - Linkage

  • Mental Health Counselor
  • Garden City, NY
  • NPI 1164187449
  NPD
• John T. Mather Memorial Hospital

  • Family Nurse Practitioner
  • Port Jefferson, NY
  • NPI 1417044066
  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1871685404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "516-541-1064",
            "fax_number": "516-798-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "516-541-1064",
            "fax_number": "516-798-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "THOMAS",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "204322",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "204322",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "204322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & N Rehab Physical Therapy PLLC
• Alyssa Jacobs
• Meena Jaiswal, DDS
• James D'Aconti Lcsws, PLLC
• Calison James
• Haylee Jansen, LMSW
• Joakime Jasmin-St. Fleur, RN
• Amina Javed, LMSW
• Jay B. Lubliner, DMD, PLLC
• Daphney Jean-Pierre

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.

Verify at the official NPI Registry.