Antonio Thomas, MD | |
1907 Park Ave, Suite 204, South Plainfield, NJ 07080-5530 | |
(908) 561-2333 | |
Not Available |
Full Name | Antonio Thomas |
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Gender | Male |
Speciality | Pediatrics |
Location | 1907 Park Ave, South Plainfield, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902833684 | NPI | - | NPPES |
7647204 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | MA65287 (New Jersey) | Secondary |
208000000X | Pediatrics | MA65287 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Antonio Thomas, MD 63 Whiteoak Dr, South Orange, NJ 07079-1007 Ph: () - | Antonio Thomas, MD 1907 Park Ave, Suite 204, South Plainfield, NJ 07080-5530 Ph: (908) 561-2333 |
Dr. Rao V Vinnakota, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 2013 Park Ave, South Plainfield, NJ 07080 Phone: 908-753-2662 Fax: 908-753-2633 | |
Dr. Joseph Solages, M.D. F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1510 Park Ave, South Plainfield, NJ 07080 Phone: 908-754-2739 Fax: 908-226-1386 | |
Dr. Subrahmanyam Ganti, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 Oak Tree Ave, Suite E, South Plainfield, NJ 07080 Phone: 908-822-1181 Fax: 908-822-1480 | |
Dr. Sanjay V Deshpande, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 285 Durham Ave Ste 2, South Plainfield, NJ 07080 Phone: 732-756-7500 | |
Kalpana Kumari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 904 Oak Tree Ave Ste P, South Plainfield, NJ 07080 Phone: 908-205-0632 Fax: 908-205-0629 | |
Dr. Madhu Goyal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2509 Park Ave, Suite#1a, South Plainfield, NJ 07080 Phone: 908-668-8290 Fax: 908-561-4914 | |
Fernando R Sitoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1630 New Durham Rd, South Plainfield, NJ 07080 Phone: 732-572-2990 Fax: 732-572-1900 |