NPIMap

Individual provider Active NPI

Thomas James Cassidy, MD

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1174612295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07090900 Issued in NJ
Practice address
3910 Park Ave
Suite 8
Edison, NJ 08820-3062
Phone
(732) 767-3130
Fax
(732) 767-3134
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07090900 NJ Primary

Addresses

Primary practice location

3910 Park Ave
Suite 8
Edison, NJ 08820-3062

Mailing address

3910 Park Ave
Suite 8
Edison, NJ 08820-3062
Phone (732) 767-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000046 NJ Practitioner - Internal Medicine 6305943945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3910 Park Ave
Suite 8
Edison, NJ 08820-3062
Phone (732) 767-3130

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Bayada Home Health Care, Inc. Home health agency, Cranford, NJ, CCN 317020
  • Robert Wood Johnson Visiting Nurses, Inc Home health agency, North Brunswick, NJ, CCN 317079
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07090900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Cassidy MD LLC Internal Medicine CurrentSince May 1, 2018 Accepting new patients

Locations

3910 Park Ave
Ste 8
Edison, NJ 08820
Phone (732) 767-0500

3910 Park Ave
Ste B
Edison, NJ 08820
Phone (732) 767-3130

Interoperability endpoints

  • Direct secure messaging: tcassidy@tjc.medentdirect.com

Organizations & group practices 1

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 11

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174612295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PARK AVE",
            "address_2": "SUITE 8",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203062",
            "telephone_number": "732-767-3130",
            "fax_number": "732-767-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 PARK AVE",
            "address_2": "SUITE 8",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203062",
            "telephone_number": "732-767-3130",
            "fax_number": "732-767-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07090900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.