Individual provider Active NPI

Fani Jacqueline Thomson, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
National Provider Identifier
1013176247
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MB08183900 Issued in NJ
Practice address
1 Valley Health PLZ
Paramus, NJ 07652-3628
Phone
(201) 634-5555
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MB08183900 NJ Primary

Addresses

Primary practice location

1 Valley Health PLZ
Paramus, NJ 07652-3628

Mailing address

15-38 Everett Ter
Fair Lawn, NJ 07410-2400
Phone (201) 797-0176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000703 NJ Practitioner - Physical Medicine and Rehabilitation 8921175878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Garden State Orthopaedic Associates, PAGroup PAC ID 0941257158, 16 clinicians

Practice addresses (Care Compare)

28 -04 Broadway
Fair Lawn, NJ 07410-3920
Phone (201) 791-4434

400 Franklin Tpke
Suite 400
Mahwah, NJ 07430-3516
Phone (201) 825-2266

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Garden State Orthopaedic Associates, P.a. CurrentSince Jul 25, 2024 Accepting new patients
Garden State Orthopaedic Associates, P.a. CurrentSince Jul 25, 2024 Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients

Locations

28-04 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-4434

75 Lincoln Hwy
Ste 300
Iselin, NJ 08830
Phone (201) 791-4434

400 Franklin Tpke
Ste 400
Mahwah, NJ 07430
Phone (201) 825-2266

1 Valley Health Plz
Fl 3
Paramus, NJ 07652
Phone (201) 634-5313

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABADD/Endpoint/IABADD

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1013176247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-38 EVERETT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102400",
            "telephone_number": "201-797-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VALLEY HEALTH PLZ",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523628",
            "telephone_number": "201-634-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "FANI",
        "middle_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB08183900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.