Organization Active NPI

Thompson Center for Plastic Surgery

  • Specialist
  • Colts Neck, NJ
National Provider Identifier
1508265489
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA06091200 Issued in NJ
Legal business name
THOMPSON CENTER FOR PLASTIC SURGERY
Practice address
5 Professional Cir
Suite 107
Colts Neck, NJ 07722-2428
Phone
(732) 410-4789
Fax
(732) 410-4788
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Rudolph Thompson, MD
Title
President
Phone
(732) 410-4789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA06091200 NJ Primary

Addresses

Primary practice location

5 Professional Cir
Suite 107
Colts Neck, NJ 07722-2428

Mailing address

5 Professional Cir
Suite 107
Colts Neck, NJ 07722-2428
Phone (732) 410-4789

National Provider Directory

National Provider Directory

Locations

5 Professional Cir
Ste 107
Colts Neck, NJ 07722
Phone (732) 410-4789

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1508265489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL CIR",
            "address_2": "SUITE 107",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222428",
            "telephone_number": "732-410-4789",
            "fax_number": "732-410-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROFESSIONAL CIR",
            "address_2": "SUITE 107",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222428",
            "telephone_number": "732-410-4789",
            "fax_number": "732-410-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON CENTER FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-410-4789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA06091200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.