Mr Tibu Raju Thomas, - Medicare Nurse Practitioner in Montvale, NJ

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Mr Tibu Raju Thomas, is a medicare enrolled "Nurse Practitioner - Adult Health" in Montvale, New Jersey. His current practice location is 225 Summit Ave, Montvale, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 472-5431.

Mr Tibu Raju Thomas is licensed to practice in New Jersey (license number 26NJ14954700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972375996.

Contact Information

Mr Tibu Raju Thomas,
225 Summit Ave,
Montvale, NJ 07645-1523
(201) 472-5431
Not Available

Map and Direction




Provider's Profile

Full NameMr Tibu Raju Thomas
GenderMale
SpecialityNurse Practitioner - Adult Health
Location225 Summit Ave, Montvale, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972375996
  • Provider Enumeration Date: 10/24/2023
  • Last Update Date: 09/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779936232
  • Enrollment ID: I20240131003310

Medical Identifiers

Medical identifiers for Mr Tibu Raju Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972375996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 26NJ14954700 (New Jersey)Primary
363LA2200XNurse Practitioner - Adult Health 311660 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Tibu Raju Thomas allows following entities to bill medicare on his behalf.
Entity NameMsk Monmouth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922459163
PECOS PAC ID: 1153619291
Enrollment ID: O20161005002347
Entity NameMsk Bergen
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558814657
PECOS PAC ID: 1456614114
Enrollment ID: O20180410002157
Entity NameMskcc Surgery Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699766261
PECOS PAC ID: 0345131405
Enrollment ID: O20240506001369

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tibu Raju Thomas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Tibu Raju Thomas,
109 Howard St,
Dumont, NJ 07628-2509

Ph: (201) 289-3763		Mr Tibu Raju Thomas,
225 Summit Ave,
Montvale, NJ 07645-1523

Ph: (201) 472-5431

Reviews and Comments


Nurse Practitioner Nurses in Montvale, NJ

Brittany Connolly, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 225 Summit Ave, Montvale, NJ 07645
Phone: 201-775-7000    
Grace John,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8 E Grand Ave, Montvale, NJ 07645
Phone: 201-775-1153    
Janna Josephine Rosario, MS, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 225 Summit Ave, Montvale, NJ 07645
Phone: 201-775-7000    
Mrs. Jasmin Rohit Prasad, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 99 Spring Valley Rd Unit 402, Montvale, NJ 07645
Phone: 978-387-2252    
Katie Lynn Rudy-tomczak, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Summit Ave, Montvale, NJ 07645
Phone: 201-775-7000    
Amanda D Rutherford, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 85 Chestnut Ridge Rd, Montvale, NJ 07645
Phone: 201-930-1700    
Shannon Shah, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Summit Ave, Montvale, NJ 07645
Phone: 212-639-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.