Organization Active NPI

Thoracic Medical Associates, LLC.

  • Specialist
  • Kearny, NJ
National Provider Identifier
1942398623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA057263 Issued in NJ
Legal business name
THORACIC MEDICAL ASSOCIATES, LLC.
Practice address
221 Kearny Ave
Kearny, NJ 07032-2437
Phone
(201) 997-0808
Fax
(201) 997-0013
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Viren Desai, M.D.NPI 1568401636
Title
Owner
Phone
(201) 997-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA057263 NJ Primary

Addresses

Primary practice location

221 Kearny Ave
Kearny, NJ 07032-2437

Mailing address

221 Kearny Ave
Kearny, NJ 07032-2437
Phone (201) 997-0808

Other identifiers 1

IdentifierTypeStateIssuer
5560403MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000533 NJ Part B Supplier - Clinic/Group Practice 0042264145 Receives reassigned benefits from 2 practitioners
Practice locations: Kearny, NJ; Lyndhurst, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942398623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322437",
            "telephone_number": "201-997-0808",
            "fax_number": "201-997-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322437",
            "telephone_number": "201-997-0808",
            "fax_number": "201-997-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORACIC MEDICAL ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "VIREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-997-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA057263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5560403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.