Thomas Agesen, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Parsippany, NJ
NPI 1497782940 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1497782940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 25MA7245700 (NJ)
- Practice address
- 299 Cherry Hill Rd Ste 105
Parsippany, NJ 07054-1124 - Phone
- (973) 998-8301
- Fax
- (973) 998-8302
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers New Jersey Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Garden State Medical Center, LLC
Practice addresses (Care Compare)
1314 Hooper Ave
BLDG B
Toms River, NJ 08753-2586
Phone (732) 202-3000
299 Cherry Hill Rd
Suite 105
Parsippany, NJ 07054-1124
Phone (973) 998-8301
Hospital & facility affiliations
- Morristown Medical Center
- Kessler Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330000608 | NJ | Practitioner - Physical Medicine and Rehabilitation | 8224008966 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA7245700 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Medical Center, LLC | Current |
Accepting new patients | |
| Regenespine, LLC | Past |
Accepting new patients | |
| Kessler Professional Services LLC | Past | Accepting new patients | |
| Practice Associates Medical Group | Past | Accepting new patients | |
| Associates in Rehabilitation Medicine, PC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
1314 Hooper Ave
Bldg B
Toms River, NJ 08753
Phone (609) 991-1222
100 State Route 36
Ste 2F
West Long Branch, NJ 07764
1100 Route 70
Whiting, NJ 08759
Phone (732) 886-4955
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA07245700 | NJ | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MA7245700 | NJ | Yes |
Addresses
Primary practice location
299 Cherry Hill Rd Ste 105
Parsippany, NJ 07054-1124
Mailing address
299 Cherry Hill Rd Ste 105
Parsippany, NJ 07054-1124
Phone (973) 998-8301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004341 | Medicaid | NJ |
NPI Registry JSON
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1497782940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 CHERRY HILL RD STE 105",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070541124",
"telephone_number": "973-998-8301",
"fax_number": "973-998-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CHERRY HILL RD STE 105",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070541124",
"telephone_number": "973-998-8301",
"fax_number": "973-998-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGESEN",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA07245700",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MA7245700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004341",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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- Affiliated Psychotherapists - a Center for Change
- Maureen Agens
- Nicoletta Agostino
- Cristal Aguasviva Franco
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All providers in Parsippany, NJ · Physical Medicine & Rehabilitation Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.