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MR. THOMAS BANKS PHYSICIAN ASSISTANT
NPI 1609412741
Physician Assistant - Surgical in Stony Brook, NY

Active since November 25, 2019PECOS Enrolled
100 NICOLLS RD, STONY BROOK, NY 11790(631) 444-3704 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Banks Physician Assistant NPPES

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

MR. THOMAS BANKS PHYSICIAN ASSISTANT (NPI 1609412741) is an individual surgical provider in Stony Brook, New York, licensed in New York (002864-01) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609412741
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. THOMAS BANKSCredential: PHYSICIAN ASSISTANT
Location Address100 NICOLLS RDStony Brook, NY 11790-3407
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-3704
Phone(631) 444-3704
Sole ProprietorNo
Enumeration DateNovember 25, 2019
✔ NPI 1609412741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 002864-01
100 NICOLLS RD, Stony Brook, NY 11790
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas Banks Physician Assistant 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.

Other Providers at the Same Location NPPES 15

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

SARA ATIQ KHAN M.D.
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1665
DR. RICHARD FINE M.D.
Pediatrics (Pediatric Nephrology)
100 NICOLLS RD, HSC T-11, RM 060
STONY BROOK, NY 11790
Suffolk County (631) 444-7884
ARYEL MOMPLAISIR NP
Nurse Practitioner (Adult Health)
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 632-6000
XIN FU LIN D.O.
Family Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-8478
DR. DANIEL DAVID CARRIS DO
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11790
Suffolk County (631) 444-7411
NANCY ANN ENTERLIN NP
Nurse Practitioner
100 NICOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER, L11 N
STONY BROOK, NY 11790
Suffolk County (631) 444-2730
CHRISTOPHER EDELSTEIN RPA
Physician Assistant
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1000
JACKLYN CHO
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1791

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 Thomas Banks's NPI number?

The NPI number for Thomas Banks is 1609412741. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Thomas Banks located?

Thomas Banks practices at 100 Nicolls Rd, Stony Brook, NY 11790. The listed phone number is (631) 444-3704.

What is Thomas Banks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Thomas Banks enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Banks was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.