THADDEUS M. AVERSA DO – NPI #1417915968
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.
THADDEUS AVERSA is a physician located in PHILLIPSBURG, NJ. NPPES has assigned the NPI number 1417915968 to THADDEUS AVERSA on May 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 10 years ago on Oct 14, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THADDEUS AVERSA below.
NPI Profile for
THADDEUS M. AVERSA
(more than 20 years ago)
PHILLIPSBURG, NJ 08865 Phone: (908) 454-9902 Fax: (908) 454-9905
SALT LAKE CITY, UT 84127-0957 Phone: (908) 835-1910 Fax: (908) 835-1924
Identifiers for THADDEUS AVERSA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA | NJ | 0963243 |
| OTHER | HORIZON | NJ | 223733353 |
| MEDICAID | NJ | 7437307 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
NJ | 25MB065920 |
| 207R00000X - Internal Medicine |
PA | OS008958L |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
THADDEUS AVERSA is affiliated with the following medical group(s):
- HOSPITAL
- ST LUKE'S WARREN HOSPITAL185 ROSEBERRY ST
PHILLIPSBURG, NJ 08865
- ST LUKE'S WARREN HOSPITAL185 ROSEBERRY ST
- NURSING HOME
- COMPLETE CARE AT PHILLIPSBURG, LLC843 WILBUR AVENUE
PHILLIPSBURG, NJ 08865 - LOPATCONG CENTER390 RED SCHOOL LANE
PHILLIPSBURG, NJ 08865 - WAYNE CENTER30 WEST AVENUE
WAYNE, PA 19087
- COMPLETE CARE AT PHILLIPSBURG, LLC843 WILBUR AVENUE
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