Individual provider Active NPI

Sheeja A Thomas, RN

  • Gerontology Registered Nurse
  • Paramus, NJ
National Provider Identifier
1053992248
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
26NR09463600 Issued in NJ
Practice address
1 Veterans Way
Paramus, NJ 07652-4100
Phone
(201) 634-8576
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 26NR09463600 NJ Primary

Addresses

Primary practice location

1 Veterans Way
Paramus, NJ 07652-4100

Mailing address

33 Brewster PL
Bergenfield, NJ 07621-1107
Phone (201) 384-9547

Other identifiers 1

IdentifierTypeStateIssuer
NJX3HZN26366120OtherNJBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sheeja.Thomas@dmava.nj.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR09463600NJMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1053992248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BREWSTER PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211107",
            "telephone_number": "201-384-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS WAY",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524100",
            "telephone_number": "201-634-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHEEJA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "26NR09463600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NJX3HZN26366120",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheeja.Thomas@dmava.nj.gov",
            "affiliation": "N",
            "address_1": "1 Veterans Way",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076524100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.