Active NPI
Thomas Bradley, MD
- Hematology & Oncology Physician
- Lake Success, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 157912
- Practice address
- The Monter Cancer Center
450 Lakeville Road
Lake Success, NY 11042 - Phone
- (516) 734-8895
- NPI assigned
- Nov 10, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 157912 | NY | Primary |
Addresses
Primary practice location
The Monter Cancer Center
450 Lakeville Road
Lake Success, NY 11042
Mailing address
The Monter Cancer Center
450 Lakeville Road
Lake Success, NY 11042
Phone (516) 734-8895
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 734-8900
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-8005
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6400
450 Lakeville Rd
New Hyde Park, NY 11042-1118
Phone (516) 734-8900
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-6400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.07 of 100
- Quality
- 57.91
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 80.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157912 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Health System Medical Faculty Group Practice Inc | Hematology & Oncology | Current | Accepting new patients |
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
27005 76th Ave
North New Hyde Pk, NY 11040
9525 Queens Blvd
Ste B
Rego Park, NY 11374
Phone (718) 925-6200
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- tbradley65857@northwell.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902977390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE MONTER CANCER CENTER",
"address_2": "450 LAKEVILLE ROAD",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-734-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE MONTER CANCER CENTER",
"address_2": "450 LAKEVILLE ROAD",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-734-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "157912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.