Individual provider Active NPI

Jasmine Thai, MD

  • Rheumatology Physician
  • Emerson, NJ
National Provider Identifier
1790246114
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA12651500 Issued in NJ
Practice address
452 Old Hook Rd FL 2
Emerson, NJ 07630-1381
Phone
(201) 666-3900
Fax
(201) 666-6860
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA12651500 NJ Primary

Addresses

Primary practice location

452 Old Hook Rd FL 2
Emerson, NJ 07630-1381

Mailing address

452 Old Hook Rd FL 2
Emerson, NJ 07630-1381
Phone (201) 666-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822001371 NJ Practitioner - Rheumatology 9830423813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Rochester School of Medicine and Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MPV New Jersey MD Services PCGroup PAC ID 5991097669, 146 clinicians

Practice addresses (Care Compare)

452 Old Hook Rd
Emerson, NJ 07630-1381
Phone (201) 666-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12651500NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Oct 6, 2025 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Oct 6, 2025 Accepting new patients
The Ohio State University Wexner Medical Center Student in an Organized Health Care Education/Training Program PastSince Jun 3, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

125 Washington Ave
Dumont, NJ 07628
Phone (201) 374-2722

452 Old Hook Rd
Fl 2
Emerson, NJ 07630
Phone (201) 599-1336

452 Old Hook Rd
Fl 1
Emerson, NJ 07630

452 Old Hook Rd
Emerson, NJ 07630
Phone (201) 666-3900

452 Old Hook Rd
#2
Emerson, NJ 07630

Interoperability endpoints

  • Direct secure messaging: jthai1360197@ahs.direct-ci.com
  • Direct secure messaging: jasmine.thai.1@19222.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1790246114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD FL 2",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-666-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD FL 2",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-666-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "JASMINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA12651500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.