Organization Active NPI

THC Health Centers, LLC

  • General Practice Physician
  • Whippany, NJ
National Provider Identifier
1972280105
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THC HEALTH CENTERS, LLC
Practice address
750 Route 10
Whippany, NJ 07981-1131
Phone
(973) 500-2300
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Brooke Lucas
Title
Assistant
Phone
(973) 500-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

750 Route 10
Whippany, NJ 07981-1131

Mailing address

PO Box 269
Cedar Knolls, NJ 07927-0269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807003313 NJ Part B Supplier - Clinic/Group Practice 5092176057 Receives reassigned benefits from 3 practitioners
Practice locations: Whippany, NJ

National Provider Directory

National Provider Directory

Locations

750 Route 10
Whippany, NJ 07981
Phone (973) 210-3838

Practitioners & affiliated clinicians

Practitioners 3

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": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1972280105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079270269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811131",
            "telephone_number": "973-500-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "973-500-2300"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.