Organization Active NPI

Thaas Medical, LLC

  • Internal Medicine Physician
  • New City, NY
National Provider Identifier
1710226238
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
243741 Issued in NY
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

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Mr. Kathirgamathas Kurunathapillai, M.D.NPI 1730112012
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02878673MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150428000601 NY Part B Supplier - Clinic/Group Practice 3779802624 Receives reassigned benefits from 1 practitioner
Practice locations: Nyack, NY
O20180821000572 NJ Part B Supplier - Clinic/Group Practice 3779802624 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.