Individual provider Active NPI

Thomas Michael Berges, APN-C

  • Adult Health Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1396959847
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NO10786300 Issued in NJ
Practice address
493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Phone
(973) 692-5950
Fax
(973) 646-7088
NPI assigned
May 10, 2007
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NO10786300 NJ Primary

Addresses

Primary practice location

493 Black Oak Ridge Rd
Wayne, NJ 07470-6501

Mailing address

6 Grandview Rd
Central Valley, NY 10917-3724
Phone (845) 928-0680

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019001624 NJ Practitioner - Nurse Practitioner 8729041488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Healing Associates PCGroup PAC ID 2668789116, 11 clinicians
Bridgecare Provider Group LLCGroup PAC ID 8123498193, 7 clinicians

Practice addresses (Care Compare)

221 County Rd
Cresskill, NJ 07626-1605
Phone (973) 427-9200

493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Phone (973) 692-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.44 of 100Reported as individual
Quality
92.26
Improvement activities
40
Cost
69.36

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303155NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare Provider Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Nov 1, 2017 Accepting new patients
Wound Healing Associates PC CurrentSince Sep 16, 2023 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Mickey P. Sharma, M.D. PastSince May 11, 2015 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

221 County Rd
#One
Cresskill, NJ 07626
Phone (201) 567-4444

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 242-4000

290 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 423-0789

800 River Rd
New Milford, NJ 07646
Phone (201) 568-0033

525 Wanaque Ave
Pompton Lakes, NJ 07442
Phone (973) 616-6166

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1396959847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRANDVIEW RD",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173724",
            "telephone_number": "845-928-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BLACK OAK RIDGE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706501",
            "telephone_number": "973-692-5950",
            "fax_number": "973-646-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGES",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NO10786300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.