Active NPI
Thomas W Fowlie Jr.
- Emergency Medicine Physician
- Toms River, NJ
National Provider Identifier
1770528168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA06363300
- Practice address
- 99 Route 37 W
Toms River, NJ 08755-6423 - Phone
- (732) 557-8000
- NPI assigned
- Jun 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA06363300 | NJ | Primary |
Addresses
Primary practice location
99 Route 37 W
Toms River, NJ 08755-6423
Mailing address
PO Box 155
Cheswick, PA 15024-0155
Phone (412) 826-1065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6973809 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06363300 | NJ | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1770528168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "CHESWICK",
"state": "PA",
"postal_code": "150240155",
"telephone_number": "412-826-1065",
"fax_number": "412-826-1491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 ROUTE 37 W",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556423",
"telephone_number": "732-557-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLIE",
"first_name": "THOMAS",
"middle_name": "W",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA06363300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6973809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.