ANTOINETTE D MOORE-THOMAS FNP -BC
NPI 1104244128
Nurse Practitioner - Family in Syosset, NY
About Antoinette D Moore-thomas Fnp -bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTOINETTE D MOORE-THOMAS FNP -BC (NPI 1104244128) is an individual family provider in Syosset, New York, licensed in New York (F346460-01) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Central Islip, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Antoinette D Moore-thomas Fnp -bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11791 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antoinette Moore-thomas's NPI number?
The NPI number for Antoinette Moore-thomas is 1104244128. It was assigned to this individual provider in the NPPES registry on April 7, 2014.
Where is Antoinette Moore-thomas located?
Antoinette Moore-thomas practices at 55 Cold Spring Rd, Syosset, NY 11791. The listed phone number is (866) 389-2727.
What is Antoinette Moore-thomas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Antoinette Moore-thomas enrolled in Medicare?
Yes. Antoinette Moore-thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Antoinette Moore-thomas was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Antoinette D Moore-Thomas, FNP -BC · NPI 1104244128
Family physician in Syosset, New York. Individual provider, active in the CMS NPPES registry since April 7, 2014.
## Identity
- **NPI:** 1104244128 (Entity type: Individual)
- **Enumerated:** April 7, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F346460-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 COLD SPRING RD, Syosset, NY 11791-3108
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104244128) · Data from the CMS NPPES public registry.