Individual provider Active NPI

Jean Ann Tomic, RNFA

  • Registered Nurse First Assistant
  • Mahopac, NY
National Provider Identifier
1912043589
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
417247-1 Issued in NY
Practice address
10 Alan Dr
Mahopac, NY 10541-3301
Phone
(845) 628-9112
Fax
(845) 628-9112
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 417247-1 NY Primary
General Acute Care Hospital 282N00000X 417247-1 NY

Addresses

Primary practice location

10 Alan Dr
Mahopac, NY 10541-3301

Mailing address

10 Alan Dr
Mahopac, NY 10541-3301
Phone (845) 628-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
417247-1NYMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912043589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALAN DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413301",
            "telephone_number": "845-628-9112",
            "fax_number": "845-628-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALAN DR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413301",
            "telephone_number": "845-628-9112",
            "fax_number": "845-628-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMIC",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "417247-1",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "417247-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.