Individual provider Active NPI

Thomas Paul McNulty, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1730103508
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP004696B Issued in PA
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

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WV7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20041012000937 PA Practitioner - Nurse Practitioner 0345200671 Reassigns benefits to 4 organizations
I20161019000667 DE Practitioner - Nurse Practitioner 0345200671
I20190703001217 OH Practitioner - Nurse Practitioner 0345200671 Reassigns benefits to 1 organization
I20191010002836 NY Practitioner - Nurse Practitioner 0345200671 Reassigns benefits to 2 organizations
I20200114002692 MD Practitioner - Nurse Practitioner 0345200671 Reassigns benefits to 1 organization
I20210319001844 NJ Practitioner - Nurse Practitioner 0345200671 Reassigns benefits to 2 organizations
I20221101003363 WV Practitioner - Nurse Practitioner 0345200671 Reassigns benefits to 1 organization

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
Senf NP Family Medicine PLLCGroup PAC ID 0648637991, 57 clinicians
Consonant Healing Medical Associates of NJ LLCGroup PAC ID 4880095637, 29 clinicians
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

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

LicenseStateTypeSpecialty
VP004696BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Acute Care Physicians, PC CurrentSince Nov 23, 2019 Accepting new patients
Consonant Healing Medical Associates of NJ LLC CurrentSince Jan 1, 2023 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Jan 14, 2024 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince May 9, 2023 Accepting new patients
Jefferson Acute Care Physicians, PC CurrentSince Nov 23, 2019 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Consonant Healing Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Mobile Wound Consultants II Inc. PastSince Aug 10, 2011 Accepting new patients
Mobile Wound Consultants Inc PastSince May 9, 2008 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.