Individual provider Active NPI

Adam M Thaler, DO

  • Anesthesiology Physician
  • Berkeley Heights, NJ
National Provider Identifier
1386887461
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB09306500 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8872
Fax
(908) 464-4930
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OT012972 PA
Anesthesiology Physician 207L00000X OS016513 PA
Student in an Organized Health Care Education/Training Program 390200000X OT012972 PA
Anesthesiology Physician 207L00000X 25MB09306500 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130916000042 NJ Practitioner - Anesthesiology 1759525637 Reassigns benefits to 5 organizations
I20190131001137 PA Practitioner - Anesthesiology 1759525637 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT012972PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Xenon Anesthesia of Pennsylvania PLLC Anesthesiology CurrentSince Jun 16, 2020 Accepting new patients
Greater Philadelphia Anesthesia Services PLLC Anesthesiology CurrentSince Mar 11, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Aug 28, 2022 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Summit Medical Group PA CurrentSince Aug 28, 2022 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Anesthesiology Current Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Jan 14, 2021 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

136 Route 73
Bldg C
Voorhees, NJ 08043

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

1515 Market St
Ste 1200
Philadelphia, PA 19102
Phone (215) 259-8078

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1386887461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8872",
            "fax_number": "908-464-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OT012972",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS016513",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT012972",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB09306500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.