Individual provider Active NPI

George Lewis Thaler, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Manalapan, NJ
National Provider Identifier
1851337125
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1018 Issued in NJ
Practice address
701 Tennent Rd
Manalapan, NJ 07726-3193
Phone
(732) 536-9593
Fax
(732) 536-5840
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1018 NJ Primary

Addresses

Primary practice location

701 Tennent Rd
Manalapan, NJ 07726-3193

Mailing address

701 Tennent Rd
Manalapan, NJ 07726-3193
Phone (732) 536-9593

Other identifiers 1

IdentifierTypeStateIssuer
1851337125OtherNJNPI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000417 NJ Practitioner - Podiatry 4688701865 Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018NJMDPrimary Podiatric Medicine Podiatrist

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/13e0424e-cf2d-4fa1-8eeb-46000e113cfb/

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1851337125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263193",
            "telephone_number": "732-536-9593",
            "fax_number": "732-536-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263193",
            "telephone_number": "732-536-9593",
            "fax_number": "732-536-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER",
        "first_name": "GEORGE",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851337125",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.