Active NPI
Thamar Merisier, NP
- Family Nurse Practitioner
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F342841-1
- Practice address
- 101 Nicolls Rd
Stony Brook, NY 11794-0001 - Phone
- (631) 689-8333
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 627317-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | F342841-1 | NY | Primary |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01421374 | Medicaid | NY |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 627317-1 | NY | MD | Registered Nurse |
| F342841-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Basin Medical Health PC | Current | Accepting new patients | |
| Parker Jewish Institute for Health Care and Rehabilitation | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Parker Jewish Institute for Health Care and Rehabilitation | Current | Accepting new patients | |
| Dels Comprehensive Health Care Registry Agency,Inc | Past | Accepting new patients |
Locations
257 State St
Batavia, NY 14020
Phone (585) 343-1300
1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724
60 Merrick Ave
East Meadow, NY 11554
Phone (516) 222-9300
48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212
Interoperability endpoints
- ms_tmerisie@landmarkhealth-direct.org
- thamar.merisier@direct.stonybrookmedicine.edu
- tmerisier20733@carelonhealth.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1346006202
-
- Skilled Nursing Facility
- New Hyde Park, NY
- NPI 1932275427
-
- Long Term Care Pharmacy
- New Hyde Park, NY
- NPI 1306882857
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Home Health Agency
- Flushing, NY
- NPI 1609042175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1922328632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD # 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "901-436-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-689-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERISIER",
"first_name": "THAMAR",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "627317-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F342841-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01421374",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.