Individual provider Active NPI

Lillian Johanna Theune, D.O.

  • Internal Medicine Physician
  • Hackettstown, NJ
National Provider Identifier
1053383869
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB06208500 Issued in NJ
Practice address
657 Willow Grove Street,
Suite 401
Hackettstown, NJ 07840
Phone
(908) 850-7800
Fax
(908) 850-7802
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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 25MB06208500 NJ Primary

Addresses

Primary practice location

657 Willow Grove Street,
Suite 401
Hackettstown, NJ 07840

Mailing address

657 Willow Grove Street,
Suite 401
Hackettstown, NJ 07840
Phone (908) 850-7800

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
I20050620000429 NJ Practitioner - Internal Medicine 8628012788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Cardiology LLCGroup PAC ID 5597751735, 29 clinicians

Practice addresses (Care Compare)

687 Willow Grove St
Hackettstown, NJ 07840-1713
Phone (908) 979-1302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.5 of 100Reported as group
Quality
61.77
Promoting interoperability
0
Improvement activities
40
Cost
73.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06208500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology, LLC Internal Medicine CurrentSince Jul 23, 2020 Accepting new patients
Practice Associates Medical Group Internal Medicine PastSince Jul 9, 2018 Accepting new patients

Locations

65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302

117 Seber Rd
Ste 1B
Hackettstown, NJ 07840
Phone (908) 979-1302

687 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 979-1302

12 Lawrence Rd
Ste 101
Newton, NJ 07860
Phone (973) 300-1302

12 Lawrence Rd
Ste 101102
Newton, NJ 07860
Phone (973) 300-1302

Interoperability endpoints

  • Direct secure messaging: theune@pfcmd.gwaydirect.com
  • Direct secure messaging: advancedcardiology.lilliantheune@142801.advancedmd-direct.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1053383869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 WILLOW GROVE STREET,",
            "address_2": "SUITE 401",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-850-7800",
            "fax_number": "908-850-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 WILLOW GROVE STREET,",
            "address_2": "SUITE 401",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-850-7800",
            "fax_number": "908-850-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEUNE",
        "first_name": "LILLIAN",
        "middle_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06208500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.