Active NPI
Rebecca Meesun Thomas, RN, AGPCNP-BC
- Nurse Practitioner
- Bloomfield, NJ
National Provider Identifier
1902235625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0994334-NP
- Practice address
- 400 Broadacres Dr Ste 4
Bloomfield, NJ 07003 - Phone
- (973) 661-8300
- Fax
- (973) 661-8333
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0994334-NP | CO | Primary |
Addresses
Primary practice location
400 Broadacres Dr Ste 4
Bloomfield, NJ 07003
Mailing address
400 Broadacres Dr Ste 4
Bloomfield, NJ 07003-3156
Phone (973) 661-8300
Other practice location 1
1211 White Plains Rd
Bronx, NY 10472-4900
Phone (718) 828-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1902235625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROADACRES DR STE 4",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033156",
"telephone_number": "973-661-8300",
"fax_number": "973-661-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BROADACRES DR STE 4",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-661-8300",
"fax_number": "973-661-8333"
}
],
"practiceLocations": [
{
"address_1": "1211 White Plains Rd",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104724900",
"country_code": "US",
"telephone_number": "718-828-6610",
"fax_number": "718-829-9132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "REBECCA",
"middle_name": "MEESUN",
"name_prefix": "Mrs.",
"credential": "RN, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0994334-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.