Basic Information
| Provider Information | |||||||||
| NPI: | 1740380997 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEWMARK | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2250 CHAPEL AVE W | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080022051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564829000 | ||||||||
| FaxNumber: | 8564821159 | ||||||||
| Practice Location | |||||||||
| Address1: | 2250 CHAPEL AVE W | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080022051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8564829000 | ||||||||
| FaxNumber: | 8564821159 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 08/25/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | MA48098 | NJ | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 2084P0800X | 25MA04809800 | NJ | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 010003893 | 01 | NJ | AMERICHOICE | OTHER | 092331000 | 01 | NJ | MAGELLAN BEHAVIAROL | OTHER | 1114663 | 01 | HORIZON NJ HEALTH | OTHER | 24332 | 01 | NJ | UNIVERSITY HEALTHCARE | OTHER | 092331000 | 01 | MAGELLAN | OTHER | 24332 | 01 | UNIVERSITY HEALTHPLAN | OTHER | P1309839 | 01 | OXFORD | OTHER | 001661642 | 01 | NJ | AMERIHEALTH PPO PABS | OTHER | 0046384000 | 01 | AMERIHEALTH HMO, KEYSTONE, IBC | OTHER | 0046384000 | 01 | NJ | AETNA USHEALTHCARE | OTHER | 1957736 | 01 | UNITED HEALTHCARE | OTHER | 5405393 | 01 | AETNA | OTHER | 5405393 | 01 | NJ | AETNA US HEALTHCARE | OTHER | 3740102 | 05 | NJ | MEDICAID | 001661642 | 01 | AMERIHEALTH PPO | OTHER | 1957736 | 01 | NJ | UNITED HEALTHCARE | OTHER | 3740102 | 01 | NJ | OXFORD HEALTH PLAN | OTHER | 3K6037 | 01 | HEALTHNET | OTHER | 4478475 | 01 | NJ | AETNA US HEALTHCARE | OTHER | 1114663 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 3K6037 | 01 | NJ | HEALTHNET,INC | OTHER | 010003893 | 01 | AMERICHOICE | OTHER |