DR. THOMAS CLYDE MD
NPI 1104389378
Internal Medicine - Hospice and Palliative Medicine in Egg Harbor Township, NJ
NPI Status: Active since April 12, 2019
Contact Information
2500 ENGLISH CREEK AVE STE 904
EGG HARBOR TOWNSHIP, NJ
ZIP 08234
Phone: (609) 407-2243
- Individual
- Male
- Years of Experience 7
- Internal Medicine
- Hospice and Palliative Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About THOMAS CLYDE
This page provides the complete NPI Profile along with additional information for Thomas Clyde, an internist established in Egg Harbor Township, New Jersey with a medical specialization in Internal Medicine, focusing in hospice and palliative medicine and more than 7 years of experience. He graduated from Cooper Medical School Of Rowan University in 2019. The healthcare provider is registered in the NPI registry with number 1104389378 assigned on April 2019. The practitioner's primary taxonomy code is 207RH0002X with license number 25MA11825300 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1104389378
- Provider Name
- DR. THOMAS CLYDE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2500 ENGLISH CREEK AVE STE 904 EGG HARBOR TOWNSHIP, NJ 08234
- Location Phone
- (609) 407-2243
- Mailing Address
- 2500 ENGLISH CREEK AVE STE 904 EGG HARBOR TOWNSHIP, NJ 08234
- Mailing Phone
- (609) 407-2243
- Medical School Name
- COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2019
- Last Update Date
- 10-19-2023
- Code Navigator
An internist like Thomas Clyde is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hospice and Palliative Medicine
- Taxonomy Code
- 207RH0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA11825300
- License State
- NJ
- Taxonomy Description
- An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Medicare Participation & PECOS Enrollment Status
Thomas Clyde is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Thomas Clyde is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2668850470
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230727003097
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Clyde is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS | 1925 PACIFIC AVENUE ATLANTIC CITY, NJ 08401 | (609) 441-8020 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 0 | 4 | 3 | 8 | 9 | 3 | 7 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 0 | 4 | 6 | 8 | 18 | 3 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 0 + 4 + 6 + 8 + 1 + 8 + 3 + 1 + 4 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1104389378 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104389378, enumerated in the NPI registry as an "individual" on April 12, 2019
The provider is located at 2500 English Creek Ave Ste 904 Egg Harbor Township, Nj 08234 and the phone number is (609) 407-2243
The provider's speciality is Internal Medicine with taxonomy code 207RH0002X with a focus in Hospice and Palliative Medicine
The provider has more than 7 years of experience. He graduated from Cooper Medical School Of Rowan University in 2019.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 12, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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