Nessy Thomas Thadathil, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00550500 Issued in NJ

Practice address

8 Hoover Ave
East Hanover, NJ 07936-3110

Phone

(973) 792-8785

NPI assigned

Apr 10, 2015

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nthadathil48309@epicdirect.rwjbh.org

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.

• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1639303159
  Medicare reassignment NPD
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041

  Acute Care

  Medicare reassignment NPD
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Vineland, NJ
  • NPI 1013141423
  NPD

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1477949907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOOVER AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363110",
            "telephone_number": "973-792-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOOVER AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363110",
            "telephone_number": "973-792-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADATHIL",
        "first_name": "NESSY",
        "middle_name": "THOMAS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00550500",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00550500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stat Nursing, Inc.
• Summit Medical Group PA (CityMD)
• Angelica Tapia Ko
• Ranjana Tavorath, M.D.
• TDK Dental LLC Dba Family Friendly Dental
• The Arc of Essex County, Inc
• TML Vision Care, LLC (Pearle Vision East Hanover)
• Erica Ann Tober, M.S., BCBA
• Total Vision Care of East Hanover, LLC
• Kathryn Werrell Toth, PA-C

• Gerontology Nurse Practitioner in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.