NPIMap

Individual provider Active NPI

David H. Thierman, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1265429732
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA042527000 Issued in NJ
Practice address
849 57TH St
Brooklyn, NY 11220-3797
Phone
(929) 234-3150
Fax
(347) 955-5976
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA042527000 NJ Primary

Addresses

Primary practice location

849 57TH St
Brooklyn, NY 11220-3797

Mailing address

743 Passaic Ave
Apt 439
Clifton, NJ 07012-1858
Phone (800) 467-2392

Other identifiers 2

IdentifierTypeStateIssuer
5396204MedicaidNJ
02642675MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040102000030 NJ Practitioner - Diagnostic Radiology 0648179374 Reassigns benefits to 1 organization
I20120113000283 NY Practitioner - Diagnostic Radiology 0648179374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Subspecialists of North Jersey LLCGroup PAC ID 3577558378, 31 clinicians

Practice addresses (Care Compare)

212 Canal St
RM 206
New York, NY 10013-4156
Phone (212) 349-5799

703 Main St
Paterson, NJ 07503-2621
Phone (973) 569-2621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.56 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA042527000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canal Radiology Associates, P.C. Diagnostic Radiology CurrentSince Nov 13, 2011 Accepting new patients
Community Radiology CurrentSince Nov 13, 2011 Accepting new patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Jan 1, 2004 Accepting new patients
Richard J Claps M.D. & Associates P.a. Diagnostic Radiology PastSince Oct 17, 2014 Accepting new patients
Urology Specialty Care PA Past Accepting new patients
Tri-County Radiology P.a. Diagnostic Radiology Past Accepting new patients
Tri-County Radiology P.a. Diagnostic Radiology Past Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

849 57th St
Brooklyn, NY 11220
Phone (718) 686-0400

212 Canal St
Rm 206
New York, NY 10013
Phone (212) 349-5799

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 1

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1265429732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 PASSAIC AVE",
            "address_2": "APT 439",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121858",
            "telephone_number": "800-467-2392",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203797",
            "telephone_number": "929-234-3150",
            "fax_number": "347-955-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERMAN",
        "first_name": "DAVID",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA042527000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5396204",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02642675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.