Individual provider Active NPI

Thomas Driscoll, M.D.

  • Psychiatry Physician
  • Marlton, NJ
National Provider Identifier
1083033484
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10252600 Issued in NJ
Practice address
810 S Cropwell Rd
Marlton, NJ 08053-2052
Phone
(732) 492-8680
Fax
(877) 577-6505
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10252600 NJ Primary

Addresses

Primary practice location

810 S Cropwell Rd
Marlton, NJ 08053-2052

Mailing address

810 S Cropwell Rd
Marlton, NJ 08053-2052
Phone (732) 492-8680

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
I20180511000746 NJ Practitioner - Psychiatry 3072736685 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Counseling Center, Inc. CurrentSince Mar 31, 2025 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Sep 5, 2018 Accepting new patients
Rutgers Health - Behavioral Health Psychiatry CurrentSince Sep 5, 2018 Accepting new patients

Locations

57 Haddonfield Rd
Ste 120
Cherry Hill, NJ 08002
Phone (856) 566-6200

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm B201
Piscataway, NJ 08854

645 Penn St
Fl 2
Reading, PA 19601
Phone 6103734281 ext. 247

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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1083033484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S CROPWELL RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532052",
            "telephone_number": "732-492-8680",
            "fax_number": "877-577-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S CROPWELL RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532052",
            "telephone_number": "732-492-8680",
            "fax_number": "877-577-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10252600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.