Thomas Nicholson, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA11720900 Issued in NJ

Practice address

1125 Route 22 Ste 170
Bridgewater, NJ 08807-2939

Phone

(908) 647-7022

Fax

(908) 947-7011

NPI assigned

Apr 1, 2014

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

State University of New York Downstate Medical Center, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlantic Visiting Nurse Hospice, Morristown, NJ, CCN 311503
• Overlook Medical Center Hospital, Summit, NJ, CCN 310051
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Atlantic Home Care & Hospice

  • Community Based Hospice Care Agency
  • Morristown, NJ
  • NPI 1144324765
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Overlook Hospital

  • General Acute Care Hospital
  • Summit, NJ
  • NPI 1740254143
  Care Compare affiliation

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1083032668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ROUTE 22 STE 170",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072939",
            "telephone_number": "908-647-7022",
            "fax_number": "908-947-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 N Village Blvd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "078713592",
            "country_code": "US",
            "telephone_number": "973-579-3444",
            "fax_number": "908-522-5121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 US Highway 46 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078402695",
            "country_code": "US",
            "telephone_number": "908-522-5120",
            "fax_number": "908-522-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA11720900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Newton, RNC, LPC
• Paul NG, PHARM D
• Aurelie Ngoufack-Tioguem, RN
• Francois Joseph Nguetsop
• Shannon Nicholls, CCC-SLP
• NJ Learning Lab
• NJ Support Services, LLC
• Anna Marie Nobile, LCADC
• Keriann Noonan, MS, BCBA
• Barbara Mae Norris, MSW

• Pulmonary Disease Physician in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.