Active NPI
Thomas John Gianis, M.D.
- Urology Physician
- Summit, NJ
National Provider Identifier
1376587501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA04356900
- Practice address
- 33 Overlook Rd Ste 301
Summit, NJ 07901-3563 - Phone
- (908) 522-5045
- Fax
- (908) 522-5353
- NPI assigned
- Jun 16, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA04356900 | NJ | Primary |
Addresses
Primary practice location
33 Overlook Rd Ste 301
Summit, NJ 07901-3563
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04356900 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704585600000",
"number": "1376587501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 OVERLOOK RD STE 301",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013563",
"telephone_number": "908-522-5045",
"fax_number": "908-522-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIANIS",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2024-01-07",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA04356900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.