Healthcare Provider Details

I. General information

NPI: 1831147180
Provider Name (Legal Business Name): JAMES W. THOMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412-14 WEST PASSYUNK AVE
PHILADELPHIA PA
19145
US

IV. Provider business mailing address

980 US HIGHWAY 9
SOUTH AMBOY NJ
08879-3320
US

V. Phone/Fax

Practice location:
  • Phone: 215-462-2100
  • Fax:
Mailing address:
  • Phone: 732-553-9729
  • Fax: 732-553-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD417576
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD417576
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: