NPIMap

Individual provider Active NPI

Anuradha Thalasila, M.D.

  • Internal Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1013058957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07672300 Issued in NJ
Practice address
157 Broad St Ste 317
Red Bank, NJ 07701-2013
Phone
(732) 530-2960
Fax
(732) 530-7446
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07672300 NJ Primary

Addresses

Primary practice location

157 Broad St Ste 317
Red Bank, NJ 07701-2013

Mailing address

157 Broad St Ste 317
Red Bank, NJ 07701-2013
Phone (732) 530-2960

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
I20090915000364 NJ Practitioner - Internal Medicine 1456407576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 741-2700

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07672300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine CurrentSince Nov 6, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Internal Medicine CurrentSince Nov 23, 2022 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine Current Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Internal Medicine Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

65 James St
Edison, NJ 08820
Phone (732) 321-7010

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

151 Madison Ave
Morristown, NJ 07960
Phone (973) 656-2700

95 Mount Kemble Ave
Morristown, NJ 07960
Phone (973) 971-4451

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

Interoperability endpoints

  • Direct secure messaging: anuradha.thalasila@direct.hackensackmeridian.org
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 6

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013058957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BROAD ST STE 317",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012013",
            "telephone_number": "732-530-2960",
            "fax_number": "732-530-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BROAD ST STE 317",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012013",
            "telephone_number": "732-530-2960",
            "fax_number": "732-530-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALASILA",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07672300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.