Individual provider Active NPI

Thaddeus Ritch de Herrera, M.D.

  • Occupational Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1801063714
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
MD478812 Issued in PA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190912000127 NJ Practitioner - Preventive Medicine 2062687254 Reassigns benefits to 2 organizations
I20220927003937 PA Practitioner - Preventive Medicine 2062687254 Reassigns benefits to 1 organization

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
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

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

LicenseStateTypeSpecialty
25MA0929600NJMDFamily Medicine Physician
MD2011-0549NMMDInternal Medicine Physician
25MA09296000NJMDOccupational Medicine Physician
MD478812PAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Aug 21, 2019 Accepting new patients
Central Jersey Urgent Care CurrentSince Mar 17, 2020 Accepting new patients
American Current Care P.a. CurrentSince Jul 14, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Mar 17, 2020 Accepting new patients
American Current Care PA CurrentSince Jul 14, 2022 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 CurrentSince Aug 21, 2019 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.

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

Verify at the official NPI Registry.