Individual provider Active NPI

Rachel Thomas, RN NP

  • Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1649392218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00128100 Issued in NJ
Practice address
1 Veterans Way
Paramus, NJ 07652-4100
Phone
(201) 634-8510
Fax
(201) 967-8658
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00128100 NJ Primary

Addresses

Primary practice location

1 Veterans Way
Paramus, NJ 07652-4100

Mailing address

57 Maple Ave
Wallington, NJ 07057-1026
Phone (201) 634-8565

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000130 NJ Practitioner - Nurse Practitioner 3870675077 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Geriatrics Practice, Inc CurrentSince May 18, 2019 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic, LLC CurrentSince Jul 31, 2014 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC CurrentSince Jul 31, 2014 Accepting new patients

Locations

1414 Main Ave
Clifton, NJ 07011
Phone (973) 253-6000

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649392218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MAPLE AVE",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571026",
            "telephone_number": "201-634-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS WAY",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524100",
            "telephone_number": "201-634-8510",
            "fax_number": "201-967-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "RN NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00128100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.