Active NPI
Stephen Wayne Thal, D.O.
- Diagnostic Radiology Physician
- Hamilton, NJ
National Provider Identifier
1811022288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS 003172L
- Practice address
- 2501 Kuser Road
Hamilton, NJ 08691 - Phone
- (609) 585-8800
- NPI assigned
- Feb 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | OS003172L | PA | |
| Diagnostic Radiology Physician | 2085R0202X | OS 003172L | PA | Primary |
Addresses
Primary practice location
2501 Kuser Road
Hamilton, NJ 08691
Mailing address
3625 Quakerbridge Rd
Hamilton, NJ 08619
Phone (609) 689-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS003172L | PA | MD | Body Imaging Physician |
| OS 003172L | PA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1811022288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 QUAKERBRIDGE RD",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "08619",
"telephone_number": "609-689-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 KUSER ROAD",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "08691",
"telephone_number": "609-585-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAL",
"first_name": "STEPHEN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "PA",
"license": "OS003172L",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OS 003172L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.