Basic Information
| Provider Information | |||||||||
| NPI: | 1225084494 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | ALBERT | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7901 BROADWAY | ||||||||
| Address2: | ROOM C5-10 | ||||||||
| City: | ELMHURST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113731329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183345366 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5 E 98TH ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122419393 | ||||||||
| FaxNumber: | 2124231238 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 05/29/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 160977-1 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 98526516 | 01 | NY | 1199 NBF MEMBER CHOICE | OTHER | 0558397 | 01 | NM | CIGNA, HMO,PPO,INDEMNITY | OTHER | 2036272 | 01 | NY | AETNA, HMO | OTHER | 150069 | 01 | NY | UHC,HMO,POS,PPO,EPO,INDEM | OTHER | 0032089 | 01 | NY | GHI,CBP,PPO,PREMIER PPO,F | OTHER | 43971981 | 01 | NY | MULTIPLAN PPO | OTHER | NS16556 | 01 | NY | OXF, FREEDOM,OX MEDICARE | OTHER | 05E761 | 01 | NY | EMPIRE BCBS, PPO,DIRECT I | OTHER | 4C1627 | 01 | NY | HEALTHNET,HMO,PLATINUM PP | OTHER | 98526516 | 01 | NY | DEVON HEALTH | OTHER | 01015109 | 05 | NY | MEDICAID | 150069 | 01 | NY | UHC MSNYU HEALTH TOP TIER | OTHER | 4199095 | 01 | NY | AETNA,PPO,POS,EPO,INDEMNI | OTHER | 000000076867 | 01 | NY | GHI, HMO | OTHER | 138772P | 01 | NY | HIP HMO,POC,ACCESS HEALTH | OTHER | 750039 | 01 | NY | BEECHSTREET,MEDICHOICE PP | OTHER |