Individual provider Active NPI

Thomas Theocharides, MD

  • Obstetrics & Gynecology Physician
  • Red Bank, NJ
National Provider Identifier
1528014412
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA06484300 Issued in NJ
Practice address
194 State Route 35
Red Bank, NJ 07701-5935
Phone
(877) 844-4557
Fax
(732) 414-4282
NPI assigned
May 25, 2006
Last updated
May 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MAO64843 NJ
Obstetrics & Gynecology Physician 207V00000X G166702 CA
Obstetrics & Gynecology Physician 207V00000X 84663 GA
Obstetrics & Gynecology Physician 207V00000X ME148158 FL
Obstetrics & Gynecology Physician 207V00000X 25MA06484300 NJ Primary

Addresses

Primary practice location

194 State Route 35
Red Bank, NJ 07701-5935

Mailing address

1569 Burnet Ave
Union, NJ 07083-4250
Phone (732) 682-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA, GA, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060602000150 NJ Practitioner - Obstetrics/Gynecology 7810908019 Reassigns benefits to 5 organizations
I20210918000128 CA Practitioner - Obstetrics/Gynecology 7810908019 Reassigns benefits to 1 organization
I20240417003731 GA Practitioner - Obstetrics/Gynecology 7810908019 Reassigns benefits to 1 organization
I20250708003690 WV Practitioner - Obstetrics/Gynecology 7810908019

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-6890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MAO64843NJMDSpecialist
G166702CAMDObstetrics & Gynecology Physician
ME148158FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc Obstetrics & Gynecology CurrentSince Jun 1, 2018 Accepting new patients
Lakewood Resource and Referral Center Inc CurrentSince Apr 1, 2015 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Nov 25, 2021 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 8, 2023 Accepting new patients
City Hospital, Inc. Obstetrics & Gynecology CurrentSince Jun 2, 2025 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Jun 1, 2018 Accepting new patients
Practice Associates Medical Group Obstetrics & Gynecology CurrentSince Jul 18, 2021 Accepting new patients
Westover Hills Women's Health PA Obstetrics & Gynecology CurrentSince May 1, 2023 Accepting new patients
Piedmont Providers LLC CurrentSince May 28, 2024 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince May 11, 2021 Accepting new patients
Barnabas Health Medical Group PC Specialist CurrentSince Jul 8, 2023 Accepting new patients
City Hospital Inc Current Accepting new patients
Hamilton OB GYN Associates PA Obstetrics & Gynecology Past Accepting new patients
Monmouth Medical Center Inc Past Accepting new patients
New Beginnings Obstetrics and Gynecology, LLC Specialist PastSince Jan 18, 2001 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations (25 of 27)

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

775 Poplar Rd
Ste 120
Newnan, GA 30265
Phone (770) 400-4510

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1528014412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 BURNET AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834250",
            "telephone_number": "732-682-1000",
            "fax_number": "732-414-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 STATE ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015935",
            "telephone_number": "877-844-4557",
            "fax_number": "732-414-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOCHARIDES",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MAO64843",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G166702",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "84663",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME148158",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06484300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.