Individual provider Active NPI

Thomas Nesbitt Ahlborn, M.D.

  • Surgery Physician
  • Glen Rock, NJ
National Provider Identifier
1801883277
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA48848 Issued in NJ
Practice address
385 S Maple Ave
Glen Rock, NJ 07452-1543
Phone
(201) 444-5757
Fax
(201) 444-0184
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA48848 NJ Primary

Addresses

Primary practice location

385 S Maple Ave
Glen Rock, NJ 07452-1543

Mailing address

385 S Maple Ave
Glen Rock, NJ 07452-1543
Phone (201) 444-5757

Other identifiers 1

IdentifierTypeStateIssuer
3715108MedicaidNJ

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
I20051123000470 NJ Practitioner - General Surgery 4486674165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA48848NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Valley Surgical Assistants, LLC Surgery Past Accepting new patients
New Jersey Endovascular Therapeutics PC Surgery Past Accepting new patients

Locations

385 S Maple Ave
Glen Rock, NJ 07452
Phone (201) 444-5757

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

15 Essex Rd
Paramus, NJ 07652
Phone (201) 291-6000

1124 E Ridgewood Ave
Ste 104
Ridgewood, NJ 07450
Phone (201) 444-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801883277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-444-5757",
            "fax_number": "201-444-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521543",
            "telephone_number": "201-444-5757",
            "fax_number": "201-444-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLBORN",
        "first_name": "THOMAS",
        "middle_name": "NESBITT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA48848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.