THALODY MEDICAL ASSOCIATES LLC NPI 1417018870

NPI Information

NPI: 1417018870
Provider Name: THALODY MEDICAL ASSOCIATES LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
240 WILLIAMSON ST
SUITE 400
ELIZABETH, NJ
ZIP 07202
Phone: (908) 352-0560
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THALODY MEDICAL ASSOCIATES LLC is a nephrology internal medicine in Elizabeth, NJ. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. THALODY MEDICAL ASSOCIATES LLC NPI is 1417018870. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

240 WILLIAMSON ST
SUITE 400
ELIZABETH, NJ
ZIP 07202-672
Phone: (908) 352-0560
Fax: (908) 352-4066

The provider's authorized official is Usa Thalody .
The authorized official title is Member and has the following contact phone number (908) 352-0560.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 2/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	222232676	OTHER	NEW JERSEY	TAX ID
2	7258607	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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