Individual provider Active NPI

Michael A Thomas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Red Bank, NJ
National Provider Identifier
1073019402
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00358000 Issued in NJ
Practice address
525 State Route 35
Red Bank, NJ 07701-5037
Phone
(848) 216-0765
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00358000 NJ Primary

Addresses

Primary practice location

525 State Route 35
Red Bank, NJ 07701-5037

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017002747 NJ Practitioner - Podiatry 3779966593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Be Healthy LLCGroup PAC ID 1951796622, 94 clinicians

Practice addresses (Care Compare)

210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone (732) 724-2596

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Be Healthy LLC Foot & Ankle Surgery CurrentSince Sep 30, 2024 Accepting new patients
All Be Healthy LLC Podiatrist CurrentSince Sep 30, 2024 Accepting new patients

Locations

1455 Broad St
Ste 250
Bloomfield, NJ 07003
Phone (201) 817-6982

150 Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

150A Tices Ln
East Brunswick, NJ 08816
Phone (732) 254-5553

2-22 Banta Pl
Fair Lawn, NJ 07410
Phone (201) 509-8600

210 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 333-6322

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

525 State Route 35
Tinton Falls, NJ 07701
Phone (732) 747-6833

1311 Morris Ave
Union, NJ 07083
Phone (908) 686-8446

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 1

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1073019402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 STATE ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015037",
            "telephone_number": "848-216-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00358000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.