Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antoinette D Moore-Thomas, FNP-BC

Individual provider Registered Nurse · NPI 1104244128

Antoinette D Moore-Thomas, FNP-BC is a Nurse Practitioner in Syosset, New York. Qualified in 2020, 6 years ago. Practices with Leslie Marino MD PLLC, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

55 Cold Spring Rd
Syosset, NY 11791-3108
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 204 Powell Ave, Central Islip, NY 11722-2506 — (631) 626-4264

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F346460-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 603601-1 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 406967 (NY)

Record details

NPI number1104244128
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Leslie Marino Md Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Syosset