Healthcare Provider Details

I. General information

NPI: 1881155893
Provider Name (Legal Business Name): JAMES SAJI THOMAS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PORT WASHINGTON BLVD
ROSLYN NY
11576-1353
US

IV. Provider business mailing address

100 PORT WASHINGTON BLVD
ROSLYN NY
11576-1353
US

V. Phone/Fax

Practice location:
  • Phone: 516-562-6600
  • Fax:
Mailing address:
  • Phone: 516-562-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number317356
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number332925
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: