CAMILLE SIMONE THOMAS PA
NPI 1285926014
Physician Assistant in New York, NY

Active since May 12, 2011PECOS Enrolled
30 BROAD ST FL 45, NEW YORK, NY 10004(212) 530-0630(415) 252-7176 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Mar 14, 2025, Apr 30, 2024 and 1 more (4 updates tracked since 2022).

About Camille Simone Thomas Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE SIMONE THOMAS PA (NPI 1285926014) is an individual physician assistant in New York, New York, licensed in New York (014705) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in East Meadow.

NPPES Registry Identity

NPI1285926014
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAMILLE SIMONE THOMASCredential: PA
Location Address30 BROAD ST FL 45New York, NY 10004-2942
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Fax(415) 252-7176
Sole ProprietorNo
Enumeration DateMay 12, 2011
Last NPPES UpdateJune 26, 20254 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1285926014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 014705 Licensed in NC · 0040-14157 Licensed in TX · PA18852
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

30 BROAD ST FL 45, New York, NY 10004

Secondary Practice Location 1

Location 12201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 572-6131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Camille Simone Thomas Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant (Medical)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner
30 BROAD ST FL 45
NEW YORK, NY 10004
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004

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 Camille Thomas's NPI number?

The NPI number for Camille Thomas is 1285926014. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Camille Thomas located?

Camille Thomas practices at 30 Broad St Fl 45, New York, NY 10004. The listed phone number is (212) 530-0630.

What is Camille Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Camille Thomas enrolled in Medicare?

Yes. Camille Thomas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camille Thomas was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.