Active NPIIndividual providerSole proprietor

Dr. Thomas A Kedersha, MD

Surgery in Toms River, New Jersey

NPI Number1609957976
Practice location
25 Mule RD, Suite B 2, Toms River, NJ 08755-5035
Fax
732-681-3426
Last updated
April 7, 2025

Thomas Andrew Kedersha is a Surgery based in Toms River, NJ. Thomas Andrew Kedersha practices in Toms River, NJ and has the professional credentials of MD. The NPI Number for Thomas Andrew Kedersha is 1609957976 and holds a License No. 25MA03781900 (NJ). The current practice location address for Thomas Andrew Kedersha is 25 Mule RD, Suite B 2, Toms River, NJ 08755-5035 and can be reached out via phone at 732-349-5453 and via fax at 732-681-3426.

Provider Profile Details

NPI Number
1609957976
Provider Name
Thomas Andrew Kedersha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25 Mule RD, Suite B 2, Toms River, NJ 08755-5035
Phone Number
732-349-5453
Fax Number
732-681-3426
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2006
Last Update Date
April 7, 2025
Certification Date
April 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Mule RD
Suite B 2
Toms River, NJ 08755-5035
Zip
08755-5035
Phone Number
732-349-5453
Fax Number
732-681-3426
Toms River, NJ 08755Get directions →

Provider Business Mailing Address Details

Address
3403 W Hurley Pond RD
Wall, NJ 07719-9606
City
Wall
State
NJ
Zip
07719-9606
Phone Number
732-681-0805
Fax Number
732-681-3426

License Information

License Number (1)
25MA03781900
License State (1)
NJ
Taxonomy (1)
Specialist · 174400000X
License Number (2)
25MA03781900
License State (2)
NJ
Taxonomy (2)
· 2086S0129X
License Number (3)
25MA03781900
License State (3)
NJ
Taxonomy (3)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Thomas A Kedersha, MD?

The NPI number of Dr. Thomas A Kedersha, MD is 1609957976. It was assigned on October 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas A Kedersha, MD?

Dr. Thomas A Kedersha, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA03781900.

Where does Dr. Thomas A Kedersha, MD practice?

The practice location is 25 Mule RD, Suite B 2, Toms River, NJ 08755-5035. The office can be reached at 732-349-5453 (phone) or 732-681-3426 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609957976 directly on the NPPES registry website.

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