Active NPIIndividual providerSole proprietor

Jolly Thomas, MD

Pediatrics, Adolescent Medicine in Springfield, New Jersey

NPI Number1790862100
Practice location
18 Morris Ave Ste 2A, Springfield, NJ 07081-1455
Fax
973-379-4302
Last updated
July 8, 2007

Jolly Thomas is a Pediatrics, Adolescent Medicine based in Springfield, NJ. Jolly Thomas practices in Springfield, NJ and has the professional credentials of MD. The NPI Number for Jolly Thomas is 1790862100 and holds a License No. MA068122 (NJ). The current practice location address for Jolly Thomas is 18 Morris Ave Ste 2A, Springfield, NJ 07081-1455 and can be reached out via phone at 973-379-4300 and via fax at 973-379-4302.

Provider Profile Details

NPI Number
1790862100
Provider Name
Jolly Thomas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
18 Morris Ave Ste 2A, Springfield, NJ 07081-1455
Phone Number
973-379-4300
Fax Number
973-379-4302
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Morris Ave Ste 2A
Springfield, NJ 07081-1455
Zip
07081-1455
Phone Number
973-379-4300
Fax Number
973-379-4302
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
18 Morris Ave Ste 2A
Springfield, NJ 07081-1455
City
Springfield
State
NJ
Zip
07081-1455
Phone Number
973-379-4300
Fax Number
973-379-4302

License Information

License Number
MA068122
License State
NJ
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · 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 Jolly Thomas, MD?

The NPI number of Jolly Thomas, MD is 1790862100. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Jolly Thomas, MD?

Jolly Thomas, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number MA068122.

Where does Jolly Thomas, MD practice?

The practice location is 18 Morris Ave Ste 2A, Springfield, NJ 07081-1455. The office can be reached at 973-379-4300 (phone) or 973-379-4302 (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 1790862100 directly on the NPPES registry website.

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