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

Camille Simone Thomas, PA

Individual provider Physician Assistant · NPI 1285926014

Camille Simone Thomas, PA is a Physician Assistant in New York, New York. Works from 2 locations. Licensed in North Carolina, New York and Texas.

Licensed in
NC, NY, TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Broad St Fl 45
New York, NY 10004-2942
Phone: (212) 530-0630
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2201 Hempstead Tpke, East Meadow, NY 11554-1859 — (516) 572-6131

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014705 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0040-14157 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA18852 (TX)

Record details

NPI number1285926014
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 12, 2011
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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