Active NPI
Kathleen M Thomsen, MD, MPH
- Family Medicine Physician
- Pennington, NJ
National Provider Identifier
1215067392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 252 W Delaware Ave
Pennington, NJ 08534-1603 - Phone
- (609) 818-9700
- Fax
- (609) 818-9811
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NJ | Primary |
Addresses
Primary practice location
252 W Delaware Ave
Pennington, NJ 08534-1603
Mailing address
252 W Delaware Ave
Pennington, NJ 08534-1603
Phone (609) 818-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO53965 | Other | NJ | CDS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140327001693 | NJ | Order and Referring Only - Family Practice | 8921255928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MAO5556700 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215067392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 W DELAWARE AVE",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085341603",
"telephone_number": "609-818-9700",
"fax_number": "609-818-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 W DELAWARE AVE",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085341603",
"telephone_number": "609-818-9700",
"fax_number": "609-818-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSEN",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "DO53965",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.