Provider Demographics
NPI:1497894091
Name:FRANCIS, THOMAS PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAUL
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38A RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6339
Mailing Address - Country:US
Mailing Address - Phone:201-998-6100
Mailing Address - Fax:201-998-6232
Practice Address - Street 1:38A RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6339
Practice Address - Country:US
Practice Address - Phone:201-998-6100
Practice Address - Fax:201-998-6232
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06266700208000000X, 207R00000X
NJMB62667207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7338902Medicaid
NJG61376Medicare UPIN
NJFR003537Medicare PIN