Lucyamma Thalody, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03193500 Issued in NJ

Practice address

240 Williamson St
Suite 400
Elizabeth, NJ 07207

Phone

(908) 352-0560

Fax

(908) 352-4066

NPI assigned

Aug 24, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thalody Medical Associates LLC

  • Nephrology Physician
  • Elizabeth, NJ
  • NPI 1417018870
  Medicare reassignment
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1790892941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 400",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-352-0560",
            "fax_number": "908-352-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 400",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07207",
            "telephone_number": "908-352-0560",
            "fax_number": "908-352-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALODY",
        "first_name": "LUCYAMMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03193500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teij Medical Inc.
• Jaline A Tenemea Rivas, LSW
• Karina Teran, APN
• Thalody Medical Associates LLC
• George Thalody, M.D.
• Usha George Thalody, MD
• The Bedside Dentist LLC
• The Lennard Clinic, Inc
• The Lennard Clinic, Inc.
• The Rehabilitation Hospital at Raritan Bay Medical Center, LLC

• Internal Medicine Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.