Thalia Vasiliades, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB074762 Issued in NJ

Practice address

484 Lafayette Ave
Hawthorne, NJ 07506-2522

Phone

(973) 423-4770

Fax

(973) 423-4816

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Rutgers School of Dental Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Community Healthcare, Inc.Group PAC ID 5193637072, 18 clinicians

Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment Care Compare group NPD
• North Haledon Medical, PC

  • Specialist
  • Wayne, NJ
  • NPI 1477624088
  Medicare reassignment
• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1285662684
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hudson Hospital Opco LLC

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  Care Compare affiliation

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912075185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHESTER PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313613",
            "telephone_number": "201-568-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062522",
            "telephone_number": "973-423-4770",
            "fax_number": "973-423-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILIADES",
        "first_name": "THALIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB074762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultima Sports and Spine LLC
• Van Dyk'S Senior Residence of Hawthorne, LLC
• Sydnee Vandyke
• Briseyda Eunise Vargas
• Maria Jose Vasena Marengo, #39
• Vein Pain & Spine Institute, LLC
• Yvelisse Velasquez-Ortiz, LAMFT
• Vital Health Centers
• Walgreen Co
• Walgreen Co

• Family Medicine Physician in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.