Thalody Medical Associates LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

THALODY MEDICAL ASSOCIATES LLC

Practice address

240 Williamson St
Suite 400
Elizabeth, NJ 07202-3672

Phone

(908) 352-0560

Fax

(908) 352-4066

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

USA Thalody, MD

Title

Member

Phone

(908) 352-0560

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashraf H Mansour, M.D.

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1952402398
  Medicare reassignment Care Compare group
• Raja C Pullatt, M.D.

  • Cardiovascular Disease Physician
  • Union, NJ
  • NPI 1477746634
  Medicare reassignment Care Compare group
• Usha George Thalody, MD

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1740472885
  Medicare reassignment Care Compare group
• Lucyamma Thalody, MD

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1790892941
  Medicare reassignment

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1417018870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 400",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023672",
            "telephone_number": "908-352-0560",
            "fax_number": "908-352-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 400",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023672",
            "telephone_number": "908-352-0560",
            "fax_number": "908-352-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THALODY MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "THALODY",
        "authorized_official_first_name": "USA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-352-0560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "222232676",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7258607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Tawes, LCSW
• Jennifer Taylor, M.D.
• Teij Medical Inc.
• Jaline A Tenemea Rivas, LSW
• Karina Teran, APN
• George Thalody, M.D.
• Lucyamma Thalody, MD
• Usha George Thalody, MD
• The Bedside Dentist LLC
• The Lennard Clinic, Inc

• Nephrology Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.