Individual provider Active NPI

John R Tomasula, MD

  • Vascular Surgery Physician
  • Bay Shore, NY
National Provider Identifier
1891701975
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
151000 Issued in NY
Practice address
15 Park Ave
Bay Shore, NY 11706-7381
Phone
(631) 581-4400
Fax
(631) 277-3750
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 151000 NY
Vascular Surgery Physician 2086S0129X 151000 NY Primary

Addresses

Primary practice location

15 Park Ave
Bay Shore, NY 11706-7381

Mailing address

135 Stoothoff Rd
East Northport, NY 11731-3921
Phone (631) 581-4400

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
I20050909000128 NY Practitioner - Vascular SurgeryPractitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Undersea and Hyperbaric Medicine 3678505724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Internal Medicine, Undersea and Hyperbaric Medicine
Education
New York University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians
Flatlands Medical Associates, PLLCGroup PAC ID 1052597051, 5 clinicians
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

3839 Flatlands Ave
Suite 100
Brooklyn, NY 11234-3535
Phone (718) 338-5024

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1422

Hospital & facility affiliations

  • Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

National Provider Directory

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

Practice roles (12 of 16)

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Vascular Surgery CurrentSince Oct 12, 2020 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Mar 11, 2022 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Oct 12, 2020 Accepting new patients
Heart and Health PLLC CurrentSince Apr 1, 2019 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Mar 11, 2022 Accepting new patients
Asklipios Medical Group, LLP Past Accepting new patients
New York Integrative Rheumatology&Arthritis Care, PC PastSince Jan 1, 2012 Accepting new patients
Park Avenue Medical & Surgical Associates PastSince Dec 8, 2004 Accepting new patients
American Access Care Physician PLLC PastSince Apr 15, 2015 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Past Accepting new patients
Narrows MRI and Diagnostic Radiology, PC Past Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

250 Pettit Ave
Ste 2
Bellmore, NY 11710
Phone (516) 387-7463

3839 Flatlands Ave
Ste 100
Brooklyn, NY 11234
Phone (718) 338-5024

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

3839 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 252-1117

877 Stewart Ave
Ste 16
Garden City, NY 11530
Phone (516) 431-0700

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

600 Northern Blvd
Ste 115
Great Neck, NY 11021
Phone (516) 466-6760

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

524 Old Country Rd
Plainview, NY 11803
Phone (516) 622-1308

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: johntomasula@sunydmc.allscriptsdirect.net
  • Direct secure messaging: john.tomasula.1@438.direct.athenahealth.com
  • Direct secure messaging: jtomasula@prine.curemd.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1891701975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 STOOTHOFF RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313921",
            "telephone_number": "631-581-4400",
            "fax_number": "631-277-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067381",
            "telephone_number": "631-581-4400",
            "fax_number": "631-277-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASULA",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "151000",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "151000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.