DR. THADDEUS M AVERSA DO NPI 1417915968

NPI Information

  • NPI: 1417915968
  • Provider Name: DR. THADDEUS M AVERSA, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 COVENTRY CENTRE DR
    PHILLIPSBURG, NJ
    ZIP 08865
  • Phone: (908) 454-9902

Map and Directions

Get Directions

NPI Details

DR. Thaddeus M Aversa, DO is a family medicine in Phillipsburg, NJ with 32 years of experience. The provider is 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. DR. Thaddeus M Aversa, DO NPI is 1417915968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:1994

The provider's business location address is:

410 COVENTRY CENTRE DR
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 454-9902
Fax: (908) 454-9905

The NPI 1417915968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)

The enumeration date for this NPI number is 5/3/2006 and was last updated on 10/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS008958LPENNSYLVANIANo
2207R00000XInternal MedicineOS008958LPENNSYLVANIANo
3207Q00000XFamily Medicine25MB065920NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17437307MEDICAIDNEW JERSEY
2901263MEDICARE PINNEW JERSEY
30963243OTHERNEW JERSEYAETNA
4223733353OTHERNEW JERSEYHORIZON
5G54773MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.