NPIMap

Individual provider Active NPI

Ramchand Thadhani, M.D.

  • Family Medicine Physician
  • Galloway, NJ
National Provider Identifier
1619035342
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06572700 Issued in NJ
Practice address
28 S New York Rd
Suite C 4
Galloway, NJ 08205-9695
Phone
(609) 652-0555
Fax
(609) 652-1414
NPI assigned
Dec 5, 2006
Last updated
Apr 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06572700 NJ Primary

Addresses

Primary practice location

28 S New York Rd
Suite C 4
Galloway, NJ 08205-9695

Mailing address

28 S New York Rd
Suite C 4
Galloway, NJ 08205-9695
Phone (609) 652-0555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000378 NJ Practitioner - Internal Medicine 8022088046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smithville Medical Associates LLCGroup PAC ID 0244247054, 3 clinicians

Practice addresses (Care Compare)

28 S New York Rd
Suite C4
Galloway, NJ 08205-9712
Phone (609) 652-0555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06572700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smithville Medical Associates LLC Family Medicine CurrentSince May 23, 2010 Accepting new patients
Insightful Pathways LLC CurrentSince Oct 27, 2024 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Pleasantville Operating LLC Past Accepting new patients
Quality Medical Associates Past Accepting new patients

Locations

28 S New York Rd
Ste C4
Galloway, NJ 08205
Phone (609) 652-0555

29 S New York Rd
Ste 700
Galloway, NJ 08205
Phone (609) 404-1823

48 S New York Rd
Ste B3
Galloway, NJ 08205
Phone (609) 404-0121

Interoperability endpoints

  • Direct secure messaging: ramchand.thadhani@smithvillemedical.ehi.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Our Ladys Center for Rehabilitation & HealthcarePleasantville, NJ, CCN 315054 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2016
Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1619035342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S NEW YORK RD",
            "address_2": "SUITE C 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059695",
            "telephone_number": "609-652-0555",
            "fax_number": "609-652-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S NEW YORK RD",
            "address_2": "SUITE C 4",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059695",
            "telephone_number": "609-652-0555",
            "fax_number": "609-652-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADHANI",
        "first_name": "RAMCHAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06572700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.