Thresiamma George Thanjan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

135671 Issued in NY

Practice address

2940 Grand Concourse
Suite 1 J
Bronx, NY 10458-2611

Phone

(718) 367-0211

Fax

(718) 367-0211

NPI assigned

Apr 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: thresiamma.thanjan@thresiammagthanjanmd.ehi.direct-ci.com

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790747343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 CRESTON AVE",
            "address_2": "SUITE 1 J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681806",
            "telephone_number": "718-367-0211",
            "fax_number": "718-367-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 GRAND CONCOURSE",
            "address_2": "SUITE 1 J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582611",
            "telephone_number": "718-367-0211",
            "fax_number": "718-367-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANJAN",
        "first_name": "THRESIAMMA",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "135671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Tham, MD, MBA
• Gloria Patricia Thambirajah, M.D.
• Prem Thanaratnam, M.D.
• Pavinee Thanasawat, M.D.
• Shirish Thanawala
• Anjali Thannikal
• Prava Thapa
• Chin Thapvongse, MD
• Tessie Tharakan, M.D.
• Thara John Tharakan

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.