Individual provider Active NPI

Manju Mary Thomas, MD

  • Pediatrics Physician
  • Jermyn, PA
National Provider Identifier
1013998897
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD426912 Issued in PA
Practice address
5 S Washington Ave
Jermyn, PA 18433-1121
Phone
(570) 230-0019
Fax
(610) 638-0757
NPI assigned
Nov 9, 2005
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD426912 PA Primary

Addresses

Primary practice location

5 S Washington Ave
Jermyn, PA 18433-1121

Mailing address

5 S Washington Ave
Jermyn, PA 18433-1121
Phone (570) 230-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190725002635 PA Practitioner - Pediatric Medicine 4486980695 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD426912PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Wright Center Medical Group Pediatrics CurrentSince Dec 20, 2021 Accepting new patients
The Wright Center Medical Group Pediatrics CurrentSince Dec 20, 2021 Accepting new patients

Locations

260 Daleville Hwy
Ste 103
Covington Township, PA 18444
Phone (570) 591-5150

103 Spruce St
Hawley, PA 18428
Phone (570) 390-4545

1855 Fair Ave
Lowr
Honesdale, PA 18431
Phone (570) 253-3980

5 S Washington Ave
Jermyn, PA 18433
Phone (570) 230-0019

1401 Fellows St
Scranton, PA 18504
Phone (570) 591-5280

200 Wyoming Ave
#250
Scranton, PA 18503
Phone (570) 342-5253

312 Boulevard Ave
Scranton, PA 18519
Phone (570) 489-4567

329 Cherry St
Ste 1B
Scranton, PA 18505
Phone (570) 591-5250

501 S Washington Ave
Ste 1000
Scranton, PA 18505
Phone (570) 866-3058

1145 Northern Blvd
South Abington Township, PA 18411
Phone (570) 493-1335

169 N Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 346-8147

Interoperability endpoints

  • Direct secure messaging: mthomas@thewrightcenter.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1013998897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S WASHINGTON AVE",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331121",
            "telephone_number": "570-230-0019",
            "fax_number": "610-638-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S WASHINGTON AVE",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331121",
            "telephone_number": "570-230-0019",
            "fax_number": "610-638-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MANJU",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jermyn, PA

Sources for this page

Verify at the official NPI Registry.