DR. THADDEUS M AVERSA DO
NPI 1417915968
Family Medicine in Phillipsburg, NJ

Q: What is Thaddeus Aversa's NPI number?

The NPI number for Thaddeus Aversa is 1417915968. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Thaddeus Aversa'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 Thaddeus Aversa was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 03, 2006PECOS Enrolled

410 COVENTRY CENTRE DR, PHILLIPSBURG, NJ 08865(908) 454-9902(908) 454-9905 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Thaddeus M Aversa Do NPPES

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

DR. THADDEUS M AVERSA DO (NPI 1417915968) is an individual family medicine provider in Phillipsburg, New Jersey, licensed in New Jersey (25MB065920) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (1994).

NPPES Registry Identity

NPI1417915968

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THADDEUS M AVERSACredential: DO

Location Address410 COVENTRY CENTRE DRPhillipsburg, NJ 08865

Mailing AddressPo Box 27957Salt Lake City, UT 84127-0957 · (908) 835-1910 · Fax (908) 835-1924

Phone(908) 454-9902

Fax(908) 454-9905

Sole ProprietorYes

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1994

Enumeration DateMay 3, 2006

Last NPPES UpdateOctober 14, 2016

✔ NPI 1417915968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NJ · 25MB065920✔ Licensed in PA · OS008958L

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 ListedInternal MedicineTaxonomy 207R00000X · License OS008958L (PA)

410 COVENTRY CENTRE DR, Phillipsburg, NJ 08865

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Other Identifiers 5

Medicaid7437307NJ

Medicare PIN901263NJ

Other0963243NJ · Aetna

Other223733353NJ · Horizon

Medicare UPING54773

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thaddeus M Aversa Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284680604

PECOS Enrollment IDI20050329000244

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 Thaddeus Aversa reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Warren Physician Group, PC

Same address

Surgery

100 COVENTRY DR
Phillipsburg, NJ 08865

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
Also billed through NPI 1780162396 (New Jersey)
528 clinicians in this Medicare group

NPI 1629481973 (908) 859-0034

Alignmed Medical Group Nj, PC

59 mi

Geriatric Medicine

12-15 SADDLE RIVER RD
Fair Lawn, NJ 07410

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

NPI 1245061605 (201) 797-9522

Gps Physician Group Of New Jersey, PC

62 mi

Geriatric Medicine

113 ROUTE 73
Voorhees, NJ 08043

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

NPI 1548776008 (856) 809-3500

Geps Physician Group Of New Jersey PC

66 mi

Geriatric Medicine

101 E STATE ST
Kennett Square, PA 19348

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

NPI 1871512038 (610) 925-4157

Geps Physician Group Of Pennsylvania PC

66 mi

Internal Medicine

101 E STATE ST
Kennett Square, PA 19348

Reassigned Medicare billing, Pennsylvania enrollment
90 clinicians in this Medicare group

NPI 1467471615 (610) 925-4157

Alignmed Medical Group, PC

116 mi

Geriatric Medicine

9200 FRANKLIN SQUARE DR
Baltimore, MD 21237

Reassigned Medicare billing, Pennsylvania enrollment
93 clinicians in this Medicare group

NPI 1366289423 (410) 391-2600

Infinite Medical PC

214 mi

Family Medicine

7 CREEK LN
Bristol, RI 02809

Reassigned Medicare billing, Pennsylvania enrollment
97 clinicians in this Medicare group

NPI 1407483175 (718) 964-6161

Alignmed Partners, PC

804 mi

Geriatric Medicine

420 DEAN DR
Gardendale, AL 35071

Reassigned Medicare billing, Pennsylvania enrollment
92 clinicians in this Medicare group

NPI 1881109452 (205) 631-8709

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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,444 services329 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

349 services134 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

251 services128 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

204 services177 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

203 services98 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

152 services136 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

69 services49 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

49 services30 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

43 services42 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

25 services23 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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 23

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers35 claims35 services$21.93 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers41 claims45 services$8.51 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims2,156 services$0.36 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier12 claims360 services$6.34 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier11 claims330 services$4.49 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$61.00 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier11 claims66 services$24.88 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims648 services$7.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims1,763 services$0.34 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier12 claims360 services$3.28 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers12 claims12 services$38.71 avg. paid by Medicare

Gel or gel-like pressure pad for mattress, standard mattress length and width E0185

DME-Other DME · category DE000N

4 suppliers11 claims11 services$134.50 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

5 suppliers137 claims137 services$40.11 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$12.35 avg. paid by Medicare

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961

DME-Wheelchairs · category DD021N

2 suppliers11 claims22 services$14.08 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

3 suppliers17 claims34 services$23.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims19 services$55.55 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

3 suppliers23 claims23 services$27.54 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

3 suppliers18 claims18 services$121.76 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

4 suppliers137 claims137 services$13.19 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier41 claims41 services$25.00 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers22 claims22 services$17.32 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers51 claims51 services$5.55 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 2

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

CECILIA S RAI DO

Family Medicine

410 COVENTRY CENTRE DR
PHILLIPSBURG, NJ 08865

Warren County (908) 454-9902

DR. ANA P GOMES DO, CMD

Family Medicine

410 COVENTRY CENTRE DR
PHILLIPSBURG, NJ 08865

Warren County (908) 454-9902

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 Thaddeus Aversa's NPI number?

The NPI number for Thaddeus Aversa is 1417915968. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Thaddeus Aversa located?

Thaddeus Aversa practices at 410 Coventry Centre Dr, Phillipsburg, NJ 08865. The listed phone number is (908) 454-9902.

What is Thaddeus Aversa's specialty?

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

Is Thaddeus Aversa enrolled in Medicare?

Yes. Thaddeus Aversa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thaddeus Aversa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thaddeus Aversa reassigns Medicare benefits to 8 organizations: St. Luke's Warren Physician Group, PC (Phillipsburg, NJ), Alignmed Medical Group Nj, PC (Fair Lawn, NJ), Gps Physician Group Of New Jersey, PC (Voorhees, NJ), Geps Physician Group Of New Jersey PC (Kennett Square, PA), Geps Physician Group Of Pennsylvania PC (Kennett Square, PA) and 3 more organizations, listed in the Medicare section above. Each 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 Thaddeus Aversa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thaddeus Aversa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Thaddeus Aversa 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.

Is Thaddeus Aversa affiliated with any hospitals?

According to CMS data, Thaddeus Aversa is affiliated with St Luke's Warren Hospital.

When was this NPI record last updated?

The NPPES record for Thaddeus Aversa was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.