Active NPI
Julie Thomas Kidangan, DO
- Family Medicine Physician
- Bloomfield, NJ
National Provider Identifier
1437470119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB09393100
- Practice address
- 1310 Broad St
Bloomfield, NJ 07003-3010 - Phone
- (973) 338-0935
- Fax
- (973) 338-1097
- NPI assigned
- Jun 17, 2010
- Last updated
- Apr 25, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB09393100 | NJ | Primary |
Addresses
Primary practice location
1310 Broad St
Bloomfield, NJ 07003-3010
Mailing address
PO Box 419430
Boston, MA 02241-9430
Phone (201) 666-3900
Other names 1
- Julie M Thomas
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
510 Hamburg Tpke
Suite 101
Wayne, NJ 07470-2033
Phone (973) 942-6005
Hospital & facility affiliations
- Adoration Home Health
- Valley Hospital
- St Joseph's University Medical Center Inc
- Chilton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.88 of 100
- Quality
- 81.99
- Promoting interoperability
- 95
- Improvement activities
- 20
- Cost
- 69.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09393100 | NJ | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
- Specialist
- Wayne, NJ
- NPI 1477624088
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chilton Medical Center
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
dba Patient Care
- Community Based Hospice Care Agency
- Passaic, NJ
- NPI 1144280017
Home health agency
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1437470119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419430",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419430",
"telephone_number": "201-666-3900",
"fax_number": "201-261-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033010",
"telephone_number": "973-338-0935",
"fax_number": "973-338-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDANGAN",
"first_name": "JULIE",
"middle_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB09393100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "THOMAS",
"middle_name": "M",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.