Active NPI
Thomas Paul McNulty, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- VP004696B
- Practice address
- 1020 Samson Street
Suite 239
Philadelphia, PA 19107-5004 - Phone
- (215) 955-6844
- Fax
- (215) 955-2526
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN310329L | PA | |
| Family Nurse Practitioner | 363LF0000X | VP004696B | PA | Primary |
Addresses
Primary practice location
1020 Samson Street
Suite 239
Philadelphia, PA 19107-5004
Mailing address
600 Clements Bridge Rd
Barrington, NJ 08007-1814
Phone (856) 547-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, OH, NY, MD, NJ, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Whittier Way
Ghent, NY 12075-3213
Phone (443) 383-9300
100 Challenger Rd
Suite 205
Ridgefield Park, NJ 07660-2108
Phone (443) 383-9300
905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP004696B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Consonant Healing Medical Associates of NJ LLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Senf NP Family Medicine PLLC | Current | Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Mobile Wound Consultants II Inc. | Past | Accepting new patients | |
| Mobile Wound Consultants Inc | Past | Accepting new patients |
Locations (25 of 28)
231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664
919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622
8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
331 Newman Springs Rd
Ste 320
Red Bank, NJ 07701
Phone (646) 450-7641
100 Challenger Rd
Ridgefield Park, NJ 07660
Phone (201) 801-6200
100 Challenger Rd
#205
Ridgefield Pk, NJ 07660
2381 Lawrenceville Rd
Trenton, NJ 08648
Phone (609) 896-8152
85 Thornton Ave
Auburn, NY 13021
Phone (315) 253-7351
7009 Rumsey Street Ext
Bath, NY 14810
Phone (607) 776-7651
67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700
11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400
1 Whittier Way
Ghent, NY 12075
Phone (518) 828-0800
10421 State Route 40
Ste 300
Granville, NY 12832
301 Mill Rd
Ste U5
Hewlett, NY 11557
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300
150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300
2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358
121 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 530-8300
50 N Pennsylvania Ave
#V
Wilkes Barre, PA 18701
1263 S George St
Ste A
Charles Town, WV 25414
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Surgery Physician
- Ridgefield Park, NJ
- NPI 1508477399
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1730571324
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1306272075
PA
-
- Urgent Care Clinic/Center
- Flourtown, PA
- NPI 1245892314
-
- Surgical Critical Care Physician
- Media, PA
- NPI 1083994149
-
- Nurse Practitioner
- Media, PA
- NPI 1326205972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1730103508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CLEMENTS BRIDGE RD",
"city": "BARRINGTON",
"state": "NJ",
"postal_code": "080071814",
"telephone_number": "856-547-8000",
"fax_number": "856-547-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SAMSON STREET",
"address_2": "SUITE 239",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075004",
"telephone_number": "215-955-6844",
"fax_number": "215-955-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "THOMAS",
"middle_name": "PAUL",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN310329L",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "VP004696B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.