Individual provider Active NPI

Robert L Thomas, PA

  • Physician Assistant
  • Vineland, NJ
National Provider Identifier
1053414110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00113200 Issued in NJ
Practice address
2466 E Chestnut Ave
Vineland, NJ 08361
Phone
(856) 691-3442
Fax
(856) 691-6582
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00113200 NJ Primary

Addresses

Primary practice location

2466 E Chestnut Ave
Vineland, NJ 08361

Mailing address

2466 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 691-3442

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
I20051026000003 NJ Practitioner - Physician Assistant 1456383918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Practice addresses (Care Compare)

2275 Route 33
Suite 303
Hamilton, NJ 08690-1748
Phone (732) 456-7777

2505 E Chestnut Ave
Vineland, NJ 08361-8450
Phone (732) 456-7777

600 Berlin Cross Keys Rd
Suite 204
Sicklerville, NJ 08081-4147
Phone (732) 456-7777

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
93.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince Oct 1, 2022 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients

Locations (25 of 29)

670 Broadway
Bayonne, NJ 07002
Phone (432) 456-7777

701 High St
Burlington, NJ 08016
Phone (609) 699-4214

1060 Kings Hwy N
Ste 120
Cherry Hill, NJ 08034

540 Lacey Rd
Ste 1A
Forked River, NJ 08731

515 Iron Bridge Rd
Ste 4
Freehold, NJ 07728
Phone (732) 252-5300

123 W White Horse Pike
Galloway, NJ 08205
Phone (609) 241-2100

85 Raritan Ave
Ste 115
Highland Park, NJ 08904
Phone (201) 679-6400

721 N Beers St
Ste 1C
Holmdel, NJ 07733
Phone (732) 264-1678

200 Middlesex Tpke
Ste 206
Iselin, NJ 08830
Phone (732) 353-1727

271 S New Prospect Rd
Ste 4
Jackson, NJ 08527

525 Route 70
Ste A1
Lakewood, NJ 08701
Phone (732) 370-3003

525 Route 70
Lakewood, NJ 08701
Phone (732) 367-8686

1322 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-1377

4 Camac Ave
Mays Landing, NJ 08330
Phone (609) 829-1100

138 Bound Brook Rd
Middlesex, NJ 08846
Phone (732) 752-1366

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

1921 New Rd
Northfield, NJ 08225
Phone (609) 677-9499

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

242 Old New Brunswick Rd
Ste 110
Piscataway, NJ 08854

242 Old New Brunswick Rd
Piscataway, NJ 08854
Phone (856) 354-0664

599 Shore Rd
Ste 202
Somers Point, NJ 08244

2446 Church Rd
Ste 2A
Toms River, NJ 08753
Phone (732) 255-6566

1580 Lakewood Rd
Ste 16A
Toms River, NJ 08755
Phone (732) 966-5493

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

Interoperability endpoints

  • Direct secure messaging: rthomas@cdnj.emadirect.md

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053414110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-3442",
            "fax_number": "856-691-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08361",
            "telephone_number": "856-691-3442",
            "fax_number": "856-691-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00113200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.