Mary Kathleen Thomas, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

235861 Issued in NY

Practice address

18 Railroad Ave
Suite 103
Rochelle Park, NJ 07662

Phone

(201) 928-0748

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mthomas@nuheightspeds.opdirect.net

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.

• Nuheights Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Clifton, NJ
  • NPI 1225479991
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1417081068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RAILROAD AVE",
            "address_2": "SUITE 103",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662",
            "telephone_number": "201-928-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RAILROAD AVE",
            "address_2": "SUITE 103",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662",
            "telephone_number": "201-928-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "235861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279668",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles A Swinkin, DPT
• Kaylee Tanis, RBT
• The Cataract Vision Institute LLC
• The in-Home Parent Coach, LLC
• The Lasik Vision Institute LLC
• Total Care Nursing Registry, Inc.
• Township of Rochelle Park (Rochelle Park EMS)
• Michelle Tran, PHARMD
• John Paul Turner
• Amy Tyberg, M.D.

• Pediatrics Physician in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.