Provider Demographics
NPI:1831166982
Name:TOHME, JACQUES F (MD)
Entity type:Individual
Prefix:
First Name:JACQUES
Middle Name:F
Last Name:TOHME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W CENTURY RD
Mailing Address - Street 2:SUITE 255
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1433
Mailing Address - Country:US
Mailing Address - Phone:201-444-4363
Mailing Address - Fax:201-444-8826
Practice Address - Street 1:30 W CENTURY RD
Practice Address - Street 2:SUITE 255
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1433
Practice Address - Country:US
Practice Address - Phone:201-444-4363
Practice Address - Fax:201-444-8826
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04412500207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2516900Medicaid
NJ457577Medicare ID - Type Unspecified
NJ2516900Medicaid