Active NPI
Thaddeus Ritch de Herrera, M.D.
- Occupational Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MD478812
- Practice address
- 2804 Southampton Rd
Philadelphia, PA 19154-1207 - Phone
- (215) 677-0930
- Fax
- (215) 677-3266
- NPI assigned
- May 9, 2008
- Last updated
- Jan 15, 2024
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA0929600 | NJ | |
| Family Medicine Physician | 207Q00000X | MD478812 | PA | |
| Internal Medicine Physician | 207R00000X | MD2011-0549 | NM | |
| Family Medicine Physician | 207Q00000X | MD2011-0549 | NM | |
| Occupational Medicine Physician | 2083X0100X | 25MA09296000 | NJ | |
| Occupational Medicine Physician | 2083X0100X | MD478812 | PA | Primary |
Addresses
Primary practice location
2804 Southampton Rd
Philadelphia, PA 19154-1207
Mailing address
5080 Spectrum Dr Ste 1200W
Addison, TX 75001-4624
Phone (972) 364-8083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 Levick St
Philadelphia, PA 19149-2928
Phone (215) 537-4755
7000 Holstein Ave
Philadelphia, PA 19153-3292
Phone (215) 365-7510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA0929600 | NJ | MD | Family Medicine Physician |
| MD2011-0549 | NM | MD | Internal Medicine Physician |
| 25MA09296000 | NJ | MD | Occupational Medicine Physician |
| MD478812 | PA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of New Jersey PA | Current | Accepting new patients | |
| Central Jersey Urgent Care | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Central Jersey Urgent Care | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| American Current Care of New Jersey, P.a. | Current | Accepting new patients | |
| American Current Care of New Jersey PA | Current | Accepting new patients | |
| American Current Care of New Jersey PA | Current | Accepting new patients | |
| American Current Care, P.a. | Past | Accepting new patients |
Locations
595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646
298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600
817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090
375 McCarter Hwy
Newark, NJ 07114
Phone (973) 643-4969
731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444
5700 Harper Dr NE
Ste 110
Albuquerque, NM 87109
Phone (505) 823-9166
2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755
2804 Southampton Rd
Philadelphia, PA 19154
Phone (215) 677-0930
15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1609044999
NJ
-
- Urgent Care Clinic/Center
- Ocean, NJ
- NPI 1316285091
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Rahway, NJ
- NPI 1083192561
-
- Urgent Care Clinic/Center
- Mount Laurel, NJ
- NPI 1821266156
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Cherry Hill, NJ
- NPI 1831481589
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Skillman, NJ
- NPI 1407421985
-
dba Concentra Urgent Care
- Health Service Clinic/Center
- Addison, TX
- NPI 1730360124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1801063714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR STE 1200W",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014624",
"telephone_number": "972-364-8083",
"fax_number": "147-754-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 SOUTHAMPTON RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191541207",
"telephone_number": "215-677-0930",
"fax_number": "215-677-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCH DE HERRERA",
"first_name": "THADDEUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA0929600",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD478812",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2011-0549",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2011-0549",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NJ",
"license": "25MA09296000",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PA",
"license": "MD478812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.