Active NPI
Thil Yoganathan, MD
- Anesthesiology Physician
- Paterson, NJ
National Provider Identifier
1851316442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA03694800
- Practice address
- 703 Main Street
Paterson, NJ 07503 - Phone
- (973) 754-2320
- Fax
- (973) 754-2381
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA03694800 | NJ | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MA03694800 | NJ |
Addresses
Primary practice location
703 Main Street
Paterson, NJ 07503
Mailing address
703 Main Street
Paterson, NJ 07503
Phone (973) 754-2320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10984 | Other | NJ | AMERIGROUP AMERICAID |
| 3124100 | Medicaid | NJ | |
| PS266 | Other | NJ | OXFORD HEALTH |
| 0805704 | Other | NJ | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050720000730 | NJ | Practitioner - Anesthesiology | 4284661398 | Practice locations: Paterson, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
703 Main St
Paterson, NJ 07503-2621
Phone (973) 977-2457
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA03694800 | NJ | MD | Critical Care Medicine (Anesthesiology) Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1851316442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 MAIN STREET",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "973-754-2320",
"fax_number": "973-754-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN STREET",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "973-754-2320",
"fax_number": "973-754-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOGANATHAN",
"first_name": "THIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA03694800",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NJ",
"license": "MA03694800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP AMERICAID",
"identifier": "10984",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3124100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "PS266",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0805704",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.