Individual provider Active NPI

Thomas F Dierkes, D.O.

  • Pediatrics Physician
  • Cape May Court House, NJ
National Provider Identifier
1336142041
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB06326300 Issued in NJ
Practice address
2041 N Route 9
Cape May Court House, NJ 08210-1162
Phone
(609) 624-9003
NPI assigned
May 27, 2005
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB06326300 NJ Primary

Addresses

Primary practice location

2041 N Route 9
Cape May Court House, NJ 08210-1162

Mailing address

2041 N Route 9
Cape May Court House, NJ 08210-1162
Phone (609) 624-9003

Other identifiers 1

IdentifierTypeStateIssuer
7652704MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014000521 NJ Practitioner - Pediatric Medicine 1355646167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06326300NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Rainbow Pediatrics PC Pediatrics Current Accepting new patients
Advocare , LLC CurrentSince Nov 1, 2020 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Advocare , LLC Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Locations

2041 Route 9 N
Cape May Court House, NJ 08210
Phone (609) 624-9003

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

528 Lippincott Dr
Marlton, NJ 08053
Phone (856) 983-3899

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: thomas.dierkes@advocaredoctors.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cooper University Health CareCape May Court House, NJ, CCN 310011 Hospital Corporate Officer
Corporate Director
Jul 1, 2010
Jul 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1336142041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 N ROUTE 9",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101162",
            "telephone_number": "609-624-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N ROUTE 9",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101162",
            "telephone_number": "609-624-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKES",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB06326300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7652704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.