Individual provider Active NPI

Carole E Thomas, MD

  • Neurology Physician
  • Lumberton, NJ
National Provider Identifier
1083666333
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08057600 Issued in NJ
Practice address
693 Main St
Building D
Lumberton, NJ 08048-5043
Phone
(609) 261-7600
Fax
(609) 265-8205
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD047947L PA
Neurology Physician 2084N0400X 25MA08057600 NJ Primary

Addresses

Primary practice location

693 Main St
Building D
Lumberton, NJ 08048-5043

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

200-B Route 73 North, Suite 2
Voorhees, NJ 08043
Phone (856) 355-0400

Other identifiers 1

IdentifierTypeStateIssuer
7265603MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cthomas19462@directvirtua.org
Direct Messaging Address cthomas19462@directvirtua.org

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
I20060908000310 NJ Practitioner - Neurology 1456355205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

200 Route 73
Suite 2B
Voorhees, NJ 08043-9611
Phone (856) 355-0400

3242 Route 206
Bordentown, NJ 08505-4517

693 Main St
Suite D
Lumberton, NJ 08048-5043
Phone (609) 261-7600

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08057600NJMDNeurology Physician
MD047947LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Advocare , LLC CurrentSince Nov 1, 2009 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Aug 31, 2006 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2018 Accepting new patients
Advocare, LLC CurrentSince Nov 1, 2009 Accepting new patients
Drexel University Neurology Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

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

693 Main St
Ste D
Lumberton, NJ 08048
Phone (267) 764-4704

693 Main St
Ste D1
Lumberton, NJ 08048
Phone (609) 261-4058

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

200 Route 73
Ste 2
Voorhees, NJ 08043
Phone (856) 335-0400

Interoperability endpoints

  • Direct secure messaging: cthomas19462@directvirtua.org

Organizations & group practices 7

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 9

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1083666333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 MAIN ST",
            "address_2": "BUILDING D",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485043",
            "telephone_number": "609-261-7600",
            "fax_number": "609-265-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200-B Route 73 North, Suite 2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-355-0400",
            "fax_number": "856-355-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CAROLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD047947L",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08057600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7265603",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cthomas19462@directvirtua.org",
            "affiliation": "N",
            "address_1": "693 Main St",
            "address_2": "Building D",
            "city": "Lumberton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080485043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cthomas19462@directvirtua.org",
            "affiliation": "N",
            "address_1": "200-B Route 73 North, Suite 2",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

Verify at the official NPI Registry.