Mr. Tibu Raju Thomas
Nurse Practitioner, Adult Health in Montvale, New Jersey
1972375996- Practice location
- 225 Summit Ave, Montvale, NJ 07645-1523
- Phone
- 201-472-5431
- Fax
- —
- Last updated
- September 11, 2024
Tibu Raju Thomas is a Nurse Practitioner, Adult Health based in Montvale, NJ. Tibu Raju Thomas practices in Montvale, NJ. The NPI Number for Tibu Raju Thomas is 1972375996 and holds a License No. 26NJ14954700 (NJ). The current practice location address for Tibu Raju Thomas is 225 Summit Ave, Montvale, NJ 07645-1523 and can be reached out via phone at 201-472-5431.
Provider Profile Details
- NPI Number
- 1972375996
- Provider Name
- Tibu Raju Thomas
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 225 Summit Ave, Montvale, NJ 07645-1523
- Phone Number
- 201-472-5431
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2023
- Last Update Date
- September 11, 2024
- Certification Date
- September 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 225 Summit Ave
Montvale, NJ 07645-1523 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-1523
- Phone Number
- 201-472-5431
Provider Business Mailing Address Details
- Address
- 109 Howard St
Dumont, NJ 07628-2509 - City
- Dumont
- State
- NJ
- Zip
- 07628-2509
- Phone Number
- 201-289-3763
License Information
- License Number (1)
- 26NJ14954700
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
- License Number (2)
- 311660
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Tibu Raju Thomas?
The NPI number of Mr. Tibu Raju Thomas is 1972375996. It was assigned on October 24, 2023 and is currently active in the NPPES registry.
What is the specialty of Mr. Tibu Raju Thomas?
Mr. Tibu Raju Thomas is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ14954700.
Where does Mr. Tibu Raju Thomas practice?
The practice location is 225 Summit Ave, Montvale, NJ 07645-1523. The office can be reached at 201-472-5431 (phone).
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 1972375996 directly on the NPPES registry website.