Active NPI
Thomas Birch, MD
- Specialist
- Teaneck, NJ
National Provider Identifier
1447342647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA05917200
- Practice address
- 718 Teaneck Rd
Teaneck, NJ 07666-4245 - Phone
- (973) 616-7117
- Fax
- (973) 616-7338
- NPI assigned
- Sep 28, 2006
- Last updated
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA05917200 | NJ | Primary |
Addresses
Primary practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Mailing address
PO Box 140
Cresskill, NJ 07626-0140
Phone (973) 616-7117
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2K6719 | Other | NJ | HEALTHNET |
| 2495227-019 | Other | NJ | CIGNA |
| 2X4411 | Other | NJ | EMPIRE |
| 6804004 | Medicaid | NJ | |
| P3565794 | Other | NJ | OXFORD |
| PENDING | Medicaid | NJ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040430000361 | NJ | Practitioner - Infectious Disease | 9931196847 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Tree Medical Associates PA | Specialist | Current | Accepting new patients |
Locations
197 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 591-9840
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
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
- Teaneck, NJ
- NPI 1427155977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1447342647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076260140",
"telephone_number": "973-616-7117",
"fax_number": "973-616-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664245",
"telephone_number": "973-616-7117",
"fax_number": "973-616-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA05917200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K6719",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2495227-019",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "2X4411",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6804004",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3565794",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.