Individual provider Active NPI

Anthony Tomasso, D.O.

  • Family Medicine Physician
  • Shirley, NY
National Provider Identifier
1962408708
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1853501 Issued in NY
Practice address
2 Coraci Blvd
Ste 4
Shirley, NY 11967-4833
Phone
(631) 281-8670
Fax
(631) 281-8242
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1853501 NY Primary

Addresses

Primary practice location

2 Coraci Blvd
Ste 4
Shirley, NY 11967-4833

Mailing address

2 Coraci Blvd
Ste 4
Shirley, NY 11967-4833
Phone (631) 281-8670

Other identifiers 1

IdentifierTypeStateIssuer
01358121MedicaidNY

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
I20040511001595 NY Practitioner - Family Practice 5092704254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Coraci Blvd
Suite 4
Shirley, NY 11967-4833
Phone (631) 281-8670

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • NYU Langone Home Health Care Home health agency, Garden City, NY, CCN 337187
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1853501NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Tomasso, DO PLLC Family Medicine CurrentSince Mar 1, 2000 Accepting new patients
Vytaliz Medical CurrentSince Jan 22, 2021 Accepting new patients

Locations

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

2 Coraci Blvd
Ste 4
Shirley, NY 11967
Phone (631) 281-8670

Interoperability endpoints

  • Direct secure messaging: atomasso504624@nyumc.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962408708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD",
            "address_2": "STE 4",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-281-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD",
            "address_2": "STE 4",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-281-8670",
            "fax_number": "631-281-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASSO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1853501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01358121",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

Verify at the official NPI Registry.