Active NPI
Thaas Medical, LLC
- Internal Medicine Physician
- New City, NY
National Provider Identifier
1710226238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 243741
- Legal business name
- THAAS MEDICAL, LLC
- Practice address
- 242 N Main St
New City, NY 10956-5302 - Phone
- (845) 901-7487
- Fax
- (845) 357-3574
- NPI assigned
- Feb 4, 2013
- 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
- Mr. Kathirgamathas Kurunathapillai, M.D.
- Title
- Medical Provider
- Phone
- (845) 901-7487
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 243741 | NY | Primary |
Addresses
Primary practice location
242 N Main St
New City, NY 10956-5302
Mailing address
PO Box 425
Mahwah, NJ 07430-0425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02878673 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
886 Belmont Ave
Unit C2
North Haledon, NJ 07508
Phone (845) 901-7487
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Haledon, NJ
- NPI 1730112012
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381708800000",
"number": "1710226238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074300425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 N MAIN ST",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565302",
"telephone_number": "845-901-7487",
"fax_number": "845-357-3574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAAS MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-04",
"last_updated": "2013-10-14",
"status": "A",
"authorized_official_last_name": "KURUNATHAPILLAI",
"authorized_official_first_name": "KATHIRGAMATHAS",
"authorized_official_title_or_position": "MEDICAL PROVIDER",
"authorized_official_telephone_number": "845-901-7487",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "243741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02878673",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.