Elyssa L Thaler, APRN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

26NJ00116800 Issued in NJ

Practice address

3822 River Road
C/O Miller Devro and Associates
Point Pleasant, NJ 08742-2067

Phone

(732) 899-0868

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041
  Medicare reassignment NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527
  Medicare reassignment
• Rutgers Health-RWJ Pediatric Critical Care

  • Emergency Medical Services (Emergency Medicine) Physician
  • New Brunswick, NJ
  • NPI 1952332546
  NPD
• Jersey Shore Geriatrics LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Marlboro, NJ
  • NPI 1366571036
  NPD (past)
• Rutgers Health-RWJ Pediatric Critical Care

  • Pediatric Critical Care Medicine Physician
  • New Brunswick, NJ
  • NPI 1164510400
  NPD (past)
• Long Island College Hospital

  dba Emergency physicians at LICH

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1912091828
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1962772665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087360297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 RIVER ROAD",
            "address_2": "C/O MILLER DEVRO AND ASSOCIATES",
            "city": "POINT PLEASANT",
            "state": "NJ",
            "postal_code": "087422067",
            "telephone_number": "732-899-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER",
        "first_name": "ELYSSA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00116800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnicle Behavioral Health, LLC
• Point Pleasant School District
• Robert a. Alworth DPM
• Daniel C Savini, DDS
• Mina K Shenouda, MD
• Clifford Ian Vannest, RPH.
• Stuart Warner, D.C.
• Bruce Lee Warshauer, M.D.
• Morgan Wassel, FNP-BC

• Adult Health Clinical Nurse Specialist in Point Pleasant, NJ
• Providers in Point Pleasant, NJ by specialty
• Adult Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.