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BOBY KOZHUKOTTAYIL THOMAS PMHNP
NPI 1275489031
Nurse Practitioner - Psychiatric/Mental Health in Harrington Park, NJ

Active since March 05, 2026PECOS Enrolled
19 LOHS PL, HARRINGTON PARK, NJ 07640(862) 812-0606 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Boby Kozhukottayil Thomas Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOBY KOZHUKOTTAYIL THOMAS PMHNP (NPI 1275489031) is an individual psychiatric/mental health provider in Harrington Park, New Jersey, licensed in New Jersey (26NJ15535000) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275489031
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBOBY KOZHUKOTTAYIL THOMASCredential: PMHNP
Location Address19 LOHS PLHarrington Park, NJ 07640-1041
Mailing Address19 Lohs PlHarrington Park, NJ 07640-1041 · (862) 812-0606
Phone(862) 812-0606
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
✔ NPI 1275489031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15535000
19 LOHS PL, Harrington Park, NJ 07640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boby Kozhukottayil Thomas Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567928294
PECOS Enrollment IDI20260731004759
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Boby Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blossom Np In Psychiatry Health Pll
9.5 mi
Psychiatry
15-01 BROADWAY STE 24
Fair Lawn, NJ 07410
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1417643842 (833) 325-6766

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boby Thomas's NPI number?

The NPI number for Boby Thomas is 1275489031. It was assigned to this individual provider in the NPPES registry on March 5, 2026.

Where is Boby Thomas located?

Boby Thomas practices at 19 Lohs Pl, Harrington Park, NJ 07640. The listed phone number is (862) 812-0606.

What is Boby Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Boby Thomas enrolled in Medicare?

Yes. Boby Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Boby Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boby Thomas reassigns Medicare benefits to Blossom Np In Psychiatry Health Pll (Fair Lawn, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Boby Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Boby Thomas accept?

Health plans from Ambetter Health list Boby Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boby Thomas was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.