Individual provider Active NPI

Thomas J Negri, ANP

  • Medical-Surgical Registered Nurse
  • Clifton, NJ
National Provider Identifier
1033487152
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
26NR11976900 Issued in NJ
Practice address
9101 Ravenscroft Rd
Clifton, NJ 07013-2727
Phone
(973) 246-5413
Fax
(973) 246-5413
NPI assigned
Dec 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 26NR11976900 NJ Primary

Addresses

Primary practice location

9101 Ravenscroft Rd
Clifton, NJ 07013-2727

Mailing address

9101 Ravenscroft Rd
Clifton, NJ 07013-2727
Phone (973) 246-5413

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000008 NJ Practitioner - Nurse Practitioner 6002060258 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalist Physicians of New Jersey PC CurrentSince Jun 22, 2015 Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC CurrentSince Jun 22, 2015 Accepting new patients
Liberty Med Associates LLC CurrentSince Apr 1, 2020 Accepting new patients
Sovereign Medical Group LLC CurrentSince Feb 20, 2017 Accepting new patients
Two River Physician Associates CurrentSince Apr 1, 2020 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Feb 20, 2017 Accepting new patients
Passaic River Observation, LLC CurrentSince Aug 20, 2022 Accepting new patients
Robert Wood Johnson Past Accepting new patients

Locations

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

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

151 Madison Ave
Morristown, NJ 07960
Phone (973) 565-2700

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

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

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1033487152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 RAVENSCROFT RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132727",
            "telephone_number": "973-246-5413",
            "fax_number": "973-246-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 RAVENSCROFT RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132727",
            "telephone_number": "973-246-5413",
            "fax_number": "973-246-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR11976900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.