NPIMap

Individual provider Active NPI

Thomas John Mueller, MD

  • Urology Physician
  • Linwood, NJ
National Provider Identifier
1003029836
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA07897500 Issued in NJ
Practice address
222 New Rd Ste 700
Linwood, NJ 08221-1286
Phone
(609) 653-4343
Fax
(609) 653-2060
NPI assigned
May 8, 2007
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MA078975 NJ
Urology Physician 208800000X 25MA07897500 NJ Primary

Addresses

Primary practice location

222 New Rd Ste 700
Linwood, NJ 08221-1286

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

570 Egg Harbor Rd
Ste A-1
Sewell, NJ 08080-2359
Phone (856) 582-9645

Other identifiers 1

IdentifierTypeStateIssuer
0195944MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmueller9990@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000317 NJ Practitioner - Urology 1759439284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA078975NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Nov 1, 2017 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Atlanticare Physician Group PA CurrentSince Nov 1, 2017 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Nov 1, 2017 Accepting new patients
Pagnani-Braga-Kimmel Urologic Assoc, P.a. CurrentSince Mar 13, 2022 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Nov 1, 2017 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Urology Consultants PA Urology Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

222 New Rd
Linwood, NJ 08221
Phone (609) 653-4343

222 New Rd
Ste 700
Linwood, NJ 08221
Phone (609) 653-4343

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

570 Egg Harbor Rd
Ste A1
Sewell, NJ 08080
Phone (856) 582-9645

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20785/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1003029836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 700",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211286",
            "telephone_number": "609-653-4343",
            "fax_number": "609-653-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Egg Harbor Rd",
            "address_2": "Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-582-9645",
            "fax_number": "856-218-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA078975",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA07897500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195944",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmueller9990@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "570 Egg Harbor Rd",
            "address_2": "Ste A-1",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.