1225084494 NPI number — DR. ALBERT G THOMAS M.D., M.S.

Table of content: DR. ALBERT G THOMAS M.D., M.S. (NPI 1225084494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225084494 NPI number — DR. ALBERT G THOMAS M.D., M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMAS
Provider First Name:
ALBERT
Provider Middle Name:
G
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., M.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225084494
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7901 BROADWAY
Provider Second Line Business Mailing Address:
ROOM C5-10
Provider Business Mailing Address City Name:
ELMHURST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11373-1329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-334-5366
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 E 98TH ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-9393
Provider Business Practice Location Address Fax Number:
212-423-1238
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  160977-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 98526516 . This is a "1199 NBF MEMBER CHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0558397 . This is a "CIGNA, HMO,PPO,INDEMNITY" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 2036272 . This is a "AETNA, HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 150069 . This is a "UHC,HMO,POS,PPO,EPO,INDEM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0032089 . This is a "GHI,CBP,PPO,PREMIER PPO,F" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 43971981 . This is a "MULTIPLAN PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NS16556 . This is a "OXF, FREEDOM,OX MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 05E761 . This is a "EMPIRE BCBS, PPO,DIRECT I" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4C1627 . This is a "HEALTHNET,HMO,PLATINUM PP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 98526516 . This is a "DEVON HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01015109 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 150069 . This is a "UHC MSNYU HEALTH TOP TIER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4199095 . This is a "AETNA,PPO,POS,EPO,INDEMNI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000076867 . This is a "GHI, HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 138772P . This is a "HIP HMO,POC,ACCESS HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 750039 . This is a "BEECHSTREET,MEDICHOICE PP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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