M. Calhoun Thomas MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA035250 Issued in NJ

Legal business name

M. CALHOUN THOMAS MD

Practice address

485 Park Avenue
Orange, NJ 07050

Phone

(973) 672-2770

Fax

(973) 672-7009

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Montrae Calhoun Thomas, MD

Title

Physician

Phone

(973) 672-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park Avenue Pediatrics Associates Doing business as

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1992929376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 PARK AVENUE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-672-2770",
            "fax_number": "973-672-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 PARK AVENUE",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "07050",
            "telephone_number": "973-672-2770",
            "fax_number": "973-672-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. CALHOUN THOMAS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MONTRAE",
        "authorized_official_middle_name": "CALHOUN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-672-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA035250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3608409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Avenue Pediatrics Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alnaysia Jahonni Long
• Carmel Bethsaida Louis-Jacques
• Loving and Caring Health Care Services Inc.
• Loving Care III, LLC
• M and M Group, Inc.
• Samantha Mackintosh, LAC
• Mahesh I. Patel, M.D., P.a.
• Komala Devi Mallampati, MD
• Renee Malts
• Karine Manasse

• Pediatrics Physician in Orange, NJ
• Providers in Orange, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.