1639193691 NPI number — DR. ERROL PETER THOMPSON M.D.

Table of content: DR. ERROL PETER THOMPSON M.D. (NPI 1639193691)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639193691 NPI number — DR. ERROL PETER THOMPSON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMPSON
Provider First Name:
ERROL
Provider Middle Name:
PETER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1639193691
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
89 31 161 STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JAMAICA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-526-1839
Provider Business Mailing Address Fax Number:
718-526-6169

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26 CRESCENT COVE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEAFORD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11783-3644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-812-1828
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2006

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:  207776 , 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: 113584832TH01 . This is a "CAREPLUS, INC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 207776-NY . This is a "1199NBF" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000017464 . This is a "AFFINITY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 207776E17 . This is a "HEALTHFIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 317680501 . This is a "HEALTHPLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 010137202 . This is a "AMERICHOICE OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01771580 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2010368 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 72N351 . This is a "EMPIRE BLUE CROSSBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0298756 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 317680401 . This is a "HEALTHPLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 010137201 . This is a "AMERICHOICE OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 113584832TH02 . This is a "CAREPLUS, INC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 207776 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com