DR. THADDEUS M AVERSA (NPI# 1417915968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417915968 |
| Entity Type | Individual |
| Full Name | DR. THADDEUS M AVERSA |
| Credential | DO |
| Practice Address |
410 Coventry Centre Dr Phillipsburg NJ 08865 |
| Mailing Address |
Po Box 27957 Salt Lake City UT 84127-0957 |
| Practice Telephone | 9084549902 |
| Practice Fax Number | 9084549905 |
| Mailing Telephone | 9088351910 |
| Mailing Fax Number | 9088351924 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS008958L | PA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 25MB065920 | NJ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OS008958L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7437307 | 05 | |
| NJ | AETNA | 0963243 | 01 |
| NJ | HORIZON | 223733353 | 01 |
| Street Address |
410 COVENTRY CENTRE DR |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750348900 | Ana P Gomes | Family Medicine | 410 Coventry Centre Dr, Phillipsburg, NJ 08865 | 2006-04-28 |
| 1578500468 | Cecilia S Rai | Family Medicine | 410 Coventry Centre Dr, Phillipsburg, NJ 08865 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
| 1720586886 | Mariana Cristina De Martinez | Counselor | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | 2018-01-24 |
| 1205353448 | Unity for Developmental Disabilities | Case Management | 212 Summit Ave., Phillipsburg, NJ 08865 | 2017-08-28 |
| 1962954602 | Britt Deluca | Counselor | 865 Us Hwy 22, Phillipsburg, NJ 08865 | 2016-10-28 |
| 1235593302 | Angela Nicolosi | Counselor | 114 South 2nd Street, Phillipsburg, NJ 08865 | 2016-04-05 |
| 1952764698 | Future Project | Day Training, Developmentally Disabled Services | 469 South Main St, Phillipsburg, NJ 08865 | 2016-03-31 |
| 1336485333 | Weiss, Humanick Support Services, LLC | Supports Brokerage | 201 Strykers Crossing, Suite 19-187, Lapatacong, NJ 08865 | 2012-12-19 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1841571403 | Darlyn Benemerito Bawasanta | Occupational Therapist | 290 Red School Lane, Brakeley Park Center, Lopatcong, NJ 08865 | 2011-09-08 |
| 1720369614 | Erica B Gracia-cedeno | Counselor | 865 Us Highway 22, Phillipsburg, NJ 08865 | 2011-09-06 |
| Find all providers in zip 08865 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013367416 | Shilpa Reddy | Family Medicine | 200 Strykers Rd Ste 1, Phillipsburg, NJ 08865-9488 | 2016-06-16 |
| 1013243575 | Doctors Clinic LLC | Family Medicine | 250 State St, Phillipsburg, KS 67661-1928 | 2009-10-19 |
| 1780858118 | Rachel Liebman | Family Medicine | 400 Coventry Dr, Phillipsburg, NJ 08865-1969 | 2008-04-16 |
| 1356377105 | Kaleidoscope Medical Associates, Pa | Family Medicine | 410 Coventry Dr, Phillipsburg, NJ 08865-1978 | 2006-06-23 |
| 1417902982 | Samaritan Family Care Inc | Family Medicine | 201 N Ludlow Street, Phillipsburg, OH 45354 | 2006-05-23 |
| 1003865601 | Alan Remde | Family Medicine | 755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865 | 2006-05-09 |
| 1750348900 | Ana P Gomes | Family Medicine | 410 Coventry Centre Dr, Phillipsburg, NJ 08865 | 2006-04-28 |
| 1841259363 | Laura D Kropf | Family Medicine | 200 Strykers Rd, Phillipsburg, NJ 08865-9488 | 2006-03-22 |
| 1053301499 | Ileana Ortiz-evans | Family Medicine | 1205 Us Route 22, Phillipsburg, NJ 08865 | 2005-10-26 |
| 1053316992 | Christopher P. Ceman | Family Medicine | 309 W G St, Phillipsburg, KS 67661-2007 | 2005-06-16 |
| Find all providers in PHILLIPSBURG | ||||
| City | PHILLIPSBURG |
| Zip Code | 08865 |
Please comment or provide details below to improve the information on DR. THADDEUS M AVERSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.