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

Mr. Thomas Macedon, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790055663

Mr. Thomas Macedon, CASAC is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

273 Heberton Ave
Staten Island, NY 10302-1809
Phone: (718) 816-6589
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9234 (NY)

Record details

NPI number1790055663
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012

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