Provider Demographics
NPI:1740380997
Name:NEWMARK, THOMAS S (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:S
Last Name:NEWMARK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 CHAPEL AVE W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2051
Mailing Address - Country:US
Mailing Address - Phone:856-482-9000
Mailing Address - Fax:856-482-1159
Practice Address - Street 1:2250 CHAPEL AVE W
Practice Address - Street 2:SUITE 100
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2051
Practice Address - Country:US
Practice Address - Phone:856-482-9000
Practice Address - Fax:856-482-1159
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA480982084P0804X
NJ25MA048098002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010003893OtherAMERICHOICE
NJ092331000OtherMAGELLAN BEHAVIAROL
1114663OtherHORIZON NJ HEALTH
NJ24332OtherUNIVERSITY HEALTHCARE
092331000OtherMAGELLAN
24332OtherUNIVERSITY HEALTHPLAN
P1309839OtherOXFORD
NJ001661642OtherAMERIHEALTH PPO PABS
0046384000OtherAMERIHEALTH HMO, KEYSTONE, IBC
NJ0046384000OtherAETNA USHEALTHCARE
1957736OtherUNITED HEALTHCARE
5405393OtherAETNA
NJ5405393OtherAETNA US HEALTHCARE
NJ3740102Medicaid
001661642OtherAMERIHEALTH PPO
NJ1957736OtherUNITED HEALTHCARE
NJ3740102OtherOXFORD HEALTH PLAN
3K6037OtherHEALTHNET
NJ4478475OtherAETNA US HEALTHCARE
NJ1114663OtherHORIZON NJ HEALTH
NJ3K6037OtherHEALTHNET,INC
010003893OtherAMERICHOICE
P1309839OtherOXFORD
NJ092331000OtherMAGELLAN BEHAVIAROL
NJ057845AVUMedicare PIN