DR. THOMAS PANETTA (NPI# 1184601072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184601072 |
| Entity Type | Individual |
| Full Name | DR. THOMAS PANETTA |
| Credential | MD |
| Practice Address |
600 Northern Blvd Suite 115 Great Neck NY 11021-5206 |
| Practice Telephone | 5164828220 |
| Practice Fax Number | 5164828221 |
| Mailing Telephone | 5164828220 |
| Mailing Fax Number | 5164828221 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
137978 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00799404 | 05 |
| Street Address |
600 NORTHERN BLVD SUITE 115 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367342 | Gb Audiology, Pllc | Audiologist | 600 Northern Blvd, Ste 100, Great Neck, NY 11021-5200 | 2005-06-26 |
| 1114559630 | Monica Walia | Otolaryngology | 600 Northern Blvd, Great Neck, NY 11021-5206 | 2020-02-12 |
| 1093358210 | Cassie Marie Perettine | Physician Assistant | 600 Northern Blvd, Great Neck, NY 11021-5206 | 2019-10-21 |
| 1346757242 | Chrisitne Louise Sardo Molmenti | Dietitian, Registered | 600 Northern Blvd, Great Neck, NY 11021-5206 | 2018-01-02 |
| 1619338282 | Winthrop Community Medical Affiliates, PC | Obstetrics & Gynecology | 600 Northern Blvd, 106, Great Neck, NY 11021-5206 | 2016-03-10 |
| 1568828861 | Stand-up Mri of East Elmhurst, P.C. | Clinic/Center | 600 Northern Blvd, Suite 117, Great Neck, NY 11021-5206 | 2016-01-04 |
| 1144604539 | New York Ispine Specialist Medical P.C. | Pain Medicine | 600 Northern Blvd, Great Neck, NY 11021-5206 | 2015-07-15 |
| 1174904288 | Kathleen Csillag | Registered Nurse | 600 Northern Blvd, Suite 212, Great Neck, NY 11021-5206 | 2015-06-15 |
| 1871972042 | Nsuh Ob-gyn Associates | Clinic/Center | 600 Northern Blvd, Suite 212, Great Neck, NY 11021-5206 | 2015-05-21 |
| 1689071508 | Stephanie Psarras | Audiologist | 600 Northern Blvd, Suite 100, Great Neck, NY 11021-5206 | 2014-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174694269 | Kambhampaty Krishnasastry | Surgery | Nsuh-department of Vascular Surgery, 825 Northern Boulevard, Great Neck, NY 11021 | 2006-11-13 |
| 1427500891 | Peter Patetsios Md PC | Surgery | 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5337 | 2016-11-01 |
| 1730408246 | Great Neck Vascular Surgery PC | Surgery | 277 Northern Blvd, Suite 318, Great Neck, NY 11021 | 2010-05-24 |
| 1679732531 | Aaa Vascular Care Pllc | Surgery | 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5302 | 2008-06-05 |
| 1760640619 | Thomas Panetta Md Vascular Surgery Pllc | Surgery | 600 Northern Blvd, Suite 115, Great Neck, NY 11021 | 2008-05-28 |
| 1437324712 | Metropolitan Diagnostic Imaging, PC | Surgery | 600 Northern Blvd, Ste. 115, Great Neck, NY 11021-5200 | 2008-04-28 |
| 1487798039 | William Purtill Md, PC | Surgery | 900 Northern Blvd, Great Neck, NY 11021-5302 | 2007-02-16 |
| 1164461851 | Martin L Schulman | Surgery | 212 Middle Neck Rd, Great Neck, NY 11021-1126 | 2006-06-06 |
| 1740260918 | Toufic K Safa | Surgery | 900 Northern Blvd, Suite 140, Great Neck, NY 11021-5302 | 2006-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on DR. THOMAS PANETTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.