Provider Demographics
NPI:1972609899
Name:WESTOVER, THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:WESTOVER
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 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:1 CAPITAL WAY
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2520
Practice Address - Country:US
Practice Address - Phone:609-537-7252
Practice Address - Fax:609-537-6070
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53648207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1151581OtherHORIZON NJ HEALTH
NJ1839773OtherUNITED HEALTHCARE
NJCA0000160OtherAMERICHOICE
NJ3K6168OtherHEALTHNET
NJ3K8558OtherHEALTHNET
NJ1010293OtherHORIZON NJ HEALTH
NJ2051691OtherAETNA
NJ5234000OtherPA BS HIGHMARK
NJ13549OtherUNIVERSITY HEALTH PLAN
NJ5234000Medicaid
NJ476529OtherAETNA
NJ83635OtherAMERIHEALTH PPO/PA BS
NJP417735OtherOXFORD
NJ0348084000OtherAMERIHEALTH/KEYSTONE/IBC
NJ160059811OtherRR MEDICARE
NJ3452360OtherCIGNA
NJP417735OtherOXFORD
NJ160059811OtherRR MEDICARE