Individual provider Active NPI

Thomas D'Amato, M.D.

  • Psychiatry Physician
  • Staten Islan, NY
National Provider Identifier
1912157116
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA84873 Issued in NJ
Practice address
355 Bard Avenue Apt 6E
Richmond University Medical Ctr
Staten Islan, NY 10310
Phone
(201) 600-5119
Fax
(718) 818-5813
NPI assigned
Sep 24, 2008
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 250392 NY
Psychiatry Physician 2084P0800X MA84873 NJ Primary

Addresses

Primary practice location

355 Bard Avenue Apt 6E
Richmond University Medical Ctr
Staten Islan, NY 10310

Mailing address

355 Bard Ave Apt 6E
Staten Island, NY 10310-1664
Phone (201) 600-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091203000305 NY Practitioner - Psychiatry 9739228859 Practice locations: Staten Island, NY
I20100318000631 NJ Practitioner - Psychiatry 9739228859 Reassigns benefits to 3 organizations
Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1269 Kennedy Blvd
Bayonne, NJ 07002-2285
Phone (201) 600-5119

1269 Kennedy Blvd
1St
Bayonne, NJ 07002-4654

135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone (718) 447-0701

275 Castleton Ave
Staten Island, NY 10301-2709
Phone (718) 447-0701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA84873NJMDPsychiatry Physician
250392NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Dec 30, 2019 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jun 29, 2012 Accepting new patients
Eoh Acquisition Group, LLC Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Rutgers Health - Behavioral Health Psychiatry Current Accepting new patients
East Side Psychiatric Services, PC Psychiatry Past Accepting new patients

Locations

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0480

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

Interoperability endpoints

  • Direct secure messaging: thomas.damato@direct.christhospital.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1912157116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE APT 6E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "201-600-5119",
            "fax_number": "718-818-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVENUE APT 6E",
            "address_2": "RICHMOND UNIVERSITY MEDICAL CTR",
            "city": "STATEN ISLAN",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "201-600-5119",
            "fax_number": "718-818-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMATO",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "250392",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA84873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.