Active NPI
Tijo Thomas, D.O
- Hospitalist Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MB09878100
- Practice address
- 111 Central Ave
Newark, NJ 07102-1909 - Phone
- (973) 877-5000
- NPI assigned
- Feb 4, 2016
- Last updated
- Jun 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2018-01257 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MB09878100 | NJ | |
| Hospitalist Physician | 208M00000X | 25MB09878100 | NJ | Primary |
Addresses
Primary practice location
111 Central Ave
Newark, NJ 07102-1909
Mailing address
10 Heron Pointe CT
Marlton, NJ 08053-1776
Phone (516) 417-3253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Evesboro Medford Rd
Suite L
Marlton, NJ 08053-3865
Phone (516) 417-3253
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09878100 | NJ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Hospitalist | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Hospitalist | Current | Accepting new patients |
| Atlanticare Regional Medical Center | Hospitalist | Current | Accepting new patients |
| Alternativ Total Wellness, LLC | Critical Care Medicine | Current | Accepting new patients |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| Virtua Medical Group, PA | Hospitalist | Current | Accepting new patients |
| CMC Department of Medicine Group PA | Critical Care Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Past | Accepting new patients |
Locations
300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034
6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
105 Evesboro Medford Rd
Ste L
Marlton, NJ 08053
Phone (516) 417-3253
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
65 W Jimmie Leeds Rd
Ste 1
Pomona, NJ 08240
Interoperability endpoints
- tthomas167210@directvirtua.org
Organizations & group practices 14
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Marlton, NJ
- NPI 1598467508
-
- Critical Care Medicine (Internal Medicine) Physician
- Camden, NJ
- NPI 1679605554
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
Hospitalist
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba Atlanticare Commuity Pharmacy - Atlantic City
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
-
dba ARMC Faculty Practice
- Internal Medicine Physician
- Atlantic City, NJ
- NPI 1568663250
Hospitalist
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Urgent Care Clinic/Center
- Moorestown, NJ
- NPI 1184174849
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
- General Acute Care Hospital
- Somers Point, NJ
- NPI 1629070149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1033577101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HERON POINTE CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531776",
"telephone_number": "516-417-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021909",
"telephone_number": "973-877-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TIJO",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-04",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2018-01257",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MB09878100",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MB09878100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.