THOMAS R MIRSEN MD NPI 1902980352

NPI Information

NPI: 1902980352
Provider Name: THOMAS R MIRSEN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
3 COOPER PLZ
SUITE 215 (NEUROLOGY)
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2445
Get Directions

Thomas R Mirsen, MD is a neurology psychiatry neurology in Camden, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Thomas R Mirsen, MD NPI is 1902980352. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3 COOPER PLZ
SUITE 215 (NEUROLOGY)
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-2445
Fax: (856) 964-0504

The NPI 1902980352 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 enumeration date for this NPI number is 10/24/2006 and was last updated on 4/25/2016.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	MA54529	NEW JERSEY	Yes

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
1	010003879	OTHER		AMERICHOICE
2	0388541000	OTHER		AMERIHEALTH, KEYSTONE, IBC
3	1243169	OTHER		UNITED HEALTHCARE
4	E62059	MEDICARE UPIN
5	7808502	OTHER		CIGNA
6	567399	OTHER		AMERIHEALTH PPO
7	110084266	OTHER		RR MEDICARE
8	13517	OTHER		UNIVERSITY HEALTH PLAN
9	0651800	MEDICAID	NEW JERSEY
10	P440700	OTHER		OXFORD
11	1024720	OTHER		HORIZON NJ HEALTH
12	567399	MEDICARE PIN	NEW JERSEY
13	3K6143	OTHER		HEALTHNET
14	0518267	OTHER		AETNA

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: 4/28/2024

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.

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