Thomas J Nordstrom, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

FLAME0148598 Issued in FL

Practice address

215 Costello Road
West Palm Beach, FL 33405-4733

Phone

(908) 267-1770

Fax

(908) 685-8009

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Orthopedics at 215 Union Avenue

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bridgewater, NJ
  • NPI 1770655870
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1295796977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COSTELLO ROAD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054733",
            "telephone_number": "908-267-1770",
            "fax_number": "908-685-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COSTELLO ROAD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054733",
            "telephone_number": "908-267-1770",
            "fax_number": "908-685-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04184700",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "FLAME0148598",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "FLAME0148598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nona Diamond Dental LLC
• Norberto Vazquez, M.D. P.a.
• Julie Nord
• Elin Nordegren
• Jennifer Nordhagen, PA-C
• Norine del Carmen Rosado MD PLLC
• Maydel Noris Benitez, LMT
• Allwyn Noronha, PHARMD
• Norpro Prosthetics & Orthotics, Inc.
• Megan Norquest, LCSW

• Orthopaedic Surgery Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.