Thomas Andrew Kedersha, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03781900 Issued in NJ

Practice address

25 Mule Rd
Suite B 2
Toms River, NJ 08755-5035

Phone

(732) 349-5453

Fax

(732) 681-3426

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

General SurgeryAlso: Vascular Surgery

Education

Other, 1978

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)

Hospital & facility affiliations

• Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  Medicare reassignment Care Compare group NPD
• Thomas a. Kedersha, MD, PA

  • Surgery Physician
  • Toms River, NJ
  • NPI 1811298235
  Medicare reassignment NPD Authorized official
• Ami Atlanticare LLC

  • Radiology Clinic/Center
  • Hammonton, NJ
  • NPI 1275762023
  Medicare reassignment NPD
• Atlantic Medical Imaging

  • Specialist
  • Galloway, NJ
  • NPI 1396771556
  Medicare reassignment NPD
• Atlantic Radiologists Professional Association LLC

  • Diagnostic Radiology Physician
  • Atlantic City, NJ
  • NPI 1841438728
  Medicare reassignment NPD
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD

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

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Lakewood, NJ
  • NPI 1225133473
  Care Compare affiliation
• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
  • NPI 1609983790
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1609957976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W HURLEY POND RD",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077199606",
            "telephone_number": "732-681-0805",
            "fax_number": "732-681-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD",
            "address_2": "SUITE B 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555035",
            "telephone_number": "732-349-5453",
            "fax_number": "732-681-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDERSHA",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03781900",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA03781900",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03781900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbin Kay, PHD
• Ally Kaykov, LPC
• Susan Kearney, LPN
• Carolyn Keating, APN
• Chiraphorn Keaveny
• Eileen M. Keegan, MSW LCSW
• Taylor Mackenzie Keehn, LAC,NCC
• Emily Keenan, LCSW
• Tabetha Tapiwa-Rose Keita
• Tyler E Keller

• Surgery Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.