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THALODY MEDICAL ASSOCIATES LLC
NPI 1417018870
Internal Medicine - Nephrology in Elizabeth, NJ

Active since December 12, 2006
240 WILLIAMSON ST, SUITE 400, ELIZABETH, NJ 07202(908) 352-0560(908) 352-4066 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thalody Medical Associates Llc NPPES

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

THALODY MEDICAL ASSOCIATES LLC (NPI 1417018870) is a healthcare organization registered as a nephrology in Elizabeth, New Jersey and active in the NPI registry since December 2006. The organization lists Usa Thalody, Member, as its authorized official.

NPPES Registry Identity

NPI1417018870
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTHALODY MEDICAL ASSOCIATES LLC
Location Address240 WILLIAMSON ST, SUITE 400Elizabeth, NJ 07202-3672
Mailing Address240 Williamson St, Suite 400Elizabeth, NJ 07202-3672 · (908) 352-0560 · Fax (908) 352-4066
Phone(908) 352-0560
Fax(908) 352-4066
Organization SubpartNo
Authorized OfficialUsa ThalodyMember · (908) 352-0560
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1417018870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
240 WILLIAMSON ST, Elizabeth, NJ 07202
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Other Identifiers 2

Other222232676NJ · Tax Id
Medicaid7258607NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thalody Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Thalody Medical Associates LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ashraf Mansour, M.D.
Internal Medicine
NPI 1952402398
240 WILLIAMSON ST SUITE 400
Elizabeth, NJ 07202
(908) 352-0560
✔ PECOS✔ Accepts MedicareSame address
Lucyamma Thalody, MD
Internal Medicine
NPI 1790892941
240 WILLIAMSON ST SUITE 400
Elizabeth, NJ 07207
(908) 352-0560
✔ PECOSSame address
Usha Thalody, MD
Internal Medicine
NPI 1740472885
240 WILLIAMSON ST SUITE 400
Elizabeth, NJ 07202
(908) 352-0560
✔ PECOS✔ Accepts MedicareSame address
Raja Pullatt, M.D.
Cardiovascular Disease (Cardiology)
NPI 1477746634
1317 MORRIS AVE
Union, NJ 07083
(908) 964-9370
✔ PECOS✔ Accepts Medicare2.5 mi

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

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 Thalody Medical Associates LLC's NPI number?

The NPI number for Thalody Medical Associates LLC is 1417018870. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Thalody Medical Associates LLC located?

Thalody Medical Associates LLC is located at 240 Williamson St Suite 400, Elizabeth, NJ 07202. The listed phone number is (908) 352-0560.

What is Thalody Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thalody Medical Associates LLC enrolled in Medicare?

Yes. Thalody Medical Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thalody Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Thalody Medical Associates LLC. A 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 the clinician's services. The largest specialties are Internal Medicine (3) and Cardiovascular Disease (Cardiology) (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thalody Medical Associates LLC was last updated on February 1, 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.