Active NPI
Roger McLachlan Thompson, MD
- Family Medicine Physician
- Middletown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA4286300
- Practice address
- 18 Leonardville Rd
Middletown, NJ 07748-2311 - Phone
- (732) 671-0860
- Fax
- (732) 671-6467
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 25MA4286300 | NJ | Primary |
Addresses
Primary practice location
18 Leonardville Rd
Middletown, NJ 07748-2311
Mailing address
PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 450873 | Other | NJ | UNITED HEALTHCARE |
| 875121 | Other | AETNA CAPITATION | |
| 0035653 | Other | AETNA HMO | |
| 7041706 | Other | NJ | CIGNA |
| 4794303 | Medicaid | NJ | |
| 4308075 | Other | AETNA | |
| 63D621 | Other | NY | EMPIRE BC/BS |
| 080059317 | Other | RAILROAD MEDICARE | |
| 63D622 | Other | NY | EMPIRE BC/BS |
| MP172 | Other | NJ | OXFORD |
| 0K4746 | Other | NJ | HEALTH NET |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers New Jersey Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1026 Broad St
Unit 18
Shrewsbury, NJ 07702-4380
Phone (732) 460-9840
Hospital & facility affiliations
- Grace Healthcare Services LLC
- Riverview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.97 of 100
- Quality
- 69.67
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA4286300 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ima Urgent Care | Current | Accepting new patients |
Locations
569 River Rd
Fair Haven, NJ 07704
Phone (732) 530-0100
1026 Broad St
Unit 18
Shrewsbury, NJ 07702
Phone (732) 460-9840
Interoperability endpoints
- roger.thompson@ima.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Shrewsbury, NJ
- NPI 1649252776
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Edison, NJ
- NPI 1538185830
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1376526442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8519",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077018519",
"telephone_number": "732-460-9840",
"fax_number": "732-460-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LEONARDVILLE RD",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077482311",
"telephone_number": "732-671-0860",
"fax_number": "732-671-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROGER",
"middle_name": "MCLACHLAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA4286300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "450873",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CAPITATION",
"identifier": "875121",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0035653",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7041706",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4794303",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4308075",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "63D621",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080059317",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "63D622",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "MP172",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0K4746",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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- Lisa Marie Thornton, OTR/L
- Thrive Wellness Collective NJ
- Kayla Marie Tollevsen
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.