Active NPI
Thomas James McDonald III, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Toms River, NJ
National Provider Identifier
1093072613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 22DI02630900
- Practice address
- 20 Hospital Dr Ste 14
Toms River, NJ 08755-6434 - Phone
- (732) 349-8400
- Fax
- (732) 473-9655
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02630900 | NJ | Primary |
Addresses
Primary practice location
20 Hospital Dr Ste 14
Toms River, NJ 08755-6434
Mailing address
20 Hospital Dr Ste 14
Toms River, NJ 08755-6434
Phone (732) 349-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 28, 2017 through Oct 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02630900 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean County Oral and Maxillofacial Surgery | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Encore Dental PC | Past | Accepting new patients | |
| Oral Surgeon Associates | Past | Accepting new patients |
Locations
20 Hospital Dr
Ste 14
Toms River, NJ 08755
Phone (201) 349-8400
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Toms River, NJ
- NPI 1285491159
-
- Dentist
- Brick, NJ
- NPI 1972872083
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Lakewood, NJ
- NPI 1245392414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1093072613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR STE 14",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556434",
"telephone_number": "732-349-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR STE 14",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556434",
"telephone_number": "732-349-8400",
"fax_number": "732-473-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2023-08-17",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "22DI02630900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.