Mr. Tibu Raju Thomas
Mr. Tibu Raju Thomas is a Nurse Practitioner in Montvale, New Jersey. Qualified in 2023, 3 years ago. Practices with MSK Bergen, a 254-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.
- Years since qualifying
- 3
- Licensed in
- NJ, NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
225 Summit AveMontvale, NJ 07645-1523
Phone: (201) 472-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 26NJ14954700 (NJ) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 311660 (NY) |
Record details
| NPI number | 1972375996 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 24, 2023 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Msk Bergen — 254 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Montvale
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Emily Elizabeth Quinn, CRNP
225 Summit Ave, Montvale, NJ 07645-1523 · (201) 472-5431
-
Ellen Smith
225 Summit Ave, Montvale, NJ 07645-1523 · (201) 650-6798