MEDICARE: THRIVE MEDICAL SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1821961855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE MEDICAL SERVICES PC

Provider Business Mailing Address
First Line	:	796 MOUNT PROSPECT AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-3223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	796 MOUNT PROSPECT AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-3223
Country	:	US
Telephone Number	:	973-481-0501
Fax Number	:	862-445-8770

Authorized Official
Title or Position	:	ADMIN
Name	:	KUMAR RAMDAS
Credential	:	MD
Telephone Number	:	862-400-2558

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	12/08/2025

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Directions to “THRIVE MEDICAL SERVICES PC ” Practice Location

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