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

Table of Contents

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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