Active NPI
Antonio Thomas, MD, LLC
- Pediatrics Physician
- South Plainfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA65287
- Legal business name
- ANTONIO THOMAS, MD, LLC
- Practice address
- 1907 Park Ave
Suite 204
South Plainfield, NJ 07080-5530 - Phone
- (908) 561-2333
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Antonio Thomas, MD
- Title
- Pediatrician & President
- Phone
- (908) 561-2333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA65287 | NJ | Primary |
Addresses
Primary practice location
1907 Park Ave
Suite 204
South Plainfield, NJ 07080-5530
Mailing address
1907 Park Ave
Suite 204
South Plainfield, NJ 07080-5530
Phone (908) 561-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7647204 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2296512 | Antonio Thomas, MD | Certificate of waiver | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
1907 Park Ave
Ste 204
South Plainfield, NJ 07080
Phone (908) 561-2333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- South Plainfield, NJ
- NPI 1902833684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1568580389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 PARK AVE",
"address_2": "SUITE 204",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805530",
"telephone_number": "908-561-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 PARK AVE",
"address_2": "SUITE 204",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805530",
"telephone_number": "908-561-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTONIO THOMAS, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "PEDIATRICIAN & PRESIDENT",
"authorized_official_telephone_number": "908-561-2333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA65287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7647204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
- Aysha Amman, PHARM.D
- Richard Zaki Andraws, M.D.
- Angelic Healthcare New Jersey Inc. (Angelic Care New Jersey)
- Joseph B. Anim, CRNA
- Ankle and Foot Specialist of NJ
- Apple Diagnostics Lab
- Arvind Doshi, MD.,PA.,
- William P Ashnault I, R.PH.
- Associates in Pulmonary and Internal Medicine, LLC
- Preya Balroop, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.