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

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (11 clinicians)

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 Hospital · Morristown, NJ · CCN 310015
  • Kessler Rehab Center Inpatient rehabilitation facility · West Orange, NJ · CCN 313025

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25MA7245700NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Medical Center, LLC Current
since Sep 1, 2021
Accepting new patients
Regenespine, LLC Past
since Feb 26, 2023
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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0004341MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2023.

{
    "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": []
}

Other providers in Parsippany, NJ

All providers in Parsippany, NJ · Physical Medicine & Rehabilitation Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.