Individual provider Active NPI

William G Thomson, R.P.A.-C

  • Physician Assistant
  • Fair Lawn, NJ
National Provider Identifier
1932168028
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25PA00085800 Issued in NJ
Practice address
28-04 Broadway
Garden State Orthopaedic Associates, P.a.
Fair Lawn, NJ 07410-3913
Phone
(201) 791-4434
Fax
(201) 475-8996
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25PA00085800 NJ Primary

Addresses

Primary practice location

28-04 Broadway
Garden State Orthopaedic Associates, P.a.
Fair Lawn, NJ 07410-3913

Mailing address

28-04 Broadway
Garden State Orthopaedic Associates, P.a.
Fair Lawn, NJ 07410-3913
Phone (201) 791-4434

Other identifiers 1

IdentifierTypeStateIssuer
0008303MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000643 NJ Practitioner - Physician Assistant 9830379049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

28 -04 Broadway
Fair Lawn, NJ 07410-3920
Phone (201) 791-4434

400 Franklin Tpke
Suite 400
Mahwah, NJ 07430-3516
Phone (201) 825-2266

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007767NYMDMental Health Counselor
25PA00085800NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Physician Assistant Past Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.thomson@gardenstateorthopedicassoc.chartmakerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1932168028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "address_2": "GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434",
            "fax_number": "201-475-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "address_2": "GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434",
            "fax_number": "201-475-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "R.P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25PA00085800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.