Individual provider Active NPI

Thanuja K Hamilton, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Mount Laurel, NJ
National Provider Identifier
1073774691
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
25MA09154300 Issued in NJ
Practice address
204 Ark Road
Suite 206 LMC I
Mount Laurel, NJ 08054-3100
Phone
(856) 778-4640
Fax
(856) 778-8862
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD440461 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA09154300 NJ Primary

Addresses

Primary practice location

204 Ark Road
Suite 206 LMC I
Mount Laurel, NJ 08054-3100

Mailing address

204 Ark Rd
Suite 206 LMC I
Mt Laurel, NJ 08054
Phone (856) 778-4640

Other identifiers 1

IdentifierTypeStateIssuer
102643890-0001MedicaidPA

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
I20120925000042 NJ Practitioner - Sleep MedicinePractitioner - Internal Medicine 3971788076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 762-1940

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

204 Ark Rd
Suite 209
Mount Laurel, NJ 08054-3100
Phone (609) 261-4058

204 Ark Rd 206 Larchmont Medic
Advocare Pulmonary and Sleep
Mount Laurel, NJ 08054-3100
Phone (856) 778-4640

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 762-1940

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 762-1940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09154300NJMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Advocare, LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

204 Ark Rd
Ste 206
Mount Laurel, NJ 08054
Phone (856) 778-4640

Interoperability endpoints

  • Direct secure messaging: thanuja.hamilton@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1073774691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ARK RD",
            "address_2": "SUITE 206 LMC I",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-778-4640",
            "fax_number": "856-778-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK ROAD",
            "address_2": "SUITE 206 LMC I",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-778-4640",
            "fax_number": "856-778-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "THANUJA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440461",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA09154300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102643890-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.