THERESA NICOLE THOMAS MD
NPI 1366838187
Family Medicine in Dover, NJ

Q: What is Theresa Thomas's NPI number?

The NPI number for Theresa Thomas is 1366838187. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is Theresa Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Thomas was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment

18 W BLACKWELL ST, DOVER, NJ 07801(973) 328-3344 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Theresa Nicole Thomas Md NPPES

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

THERESA NICOLE THOMAS MD (NPI 1366838187) is an individual family medicine provider in Dover, New Jersey, licensed in New Jersey (25MA10292100) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1366838187

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTHERESA NICOLE THOMASCredential: MD

Location Address18 W BLACKWELL STDover, NJ 07801-3841

Mailing Address18 W Blackwell StDover, NJ 07801-3841 · (973) 328-3344

Phone(973) 328-3344

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2015

Enumeration DateApril 8, 2015

Last NPPES UpdateJuly 26, 2019

✔ NPI 1366838187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA10292100

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

18 W BLACKWELL ST, Dover, NJ 07801

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Secondary Practice Location 1

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-2000

Other Identifiers 1

Other25MA10292100NJ · License Number

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Nicole Thomas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709124944

PECOS Enrollment IDI20210316000096

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 Reassignments

Medicare enrollment records show Theresa Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Zufall Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

18 W BLACKWELL ST
Dover, NJ 07801

Reassigned Medicare billing, New Jersey enrollment
52 clinicians in this Medicare group

NPI 1548515091 (973) 328-3344

Practice Associates Medical Group

8.2 mi

Internal Medicine

100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
1,699 clinicians in this Medicare group

NPI 1427016385 (844) 264-2250

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

280 services149 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

111 services111 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

48 services47 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

46 services45 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07801 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers19 claims43 services$6.28 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims12 services$0.94 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$13.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA DIAZ LSW

Social Worker (Clinical)