Individual provider Active NPI

Meron Debesai, MD

  • Gastroenterology Physician
  • Hoboken, NJ
National Provider Identifier
1003347311
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA11905000 Issued in NJ
Practice address
330 Grand St
Hoboken, NJ 07030-2728
Phone
(201) 821-8778
NPI assigned
Mar 27, 2017
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA11905000 NJ Primary

Addresses

Primary practice location

330 Grand St
Hoboken, NJ 07030-2728

Mailing address

330 Grand St
Hoboken, NJ 07030-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710002025 NJ Practitioner - Gastroenterology 7416316336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
New Jersey Medical and Health Associates,LLCGroup PAC ID 9133300791, 24 clinicians

Practice addresses (Care Compare)

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

3196 Kennedy Blvd
Suite 2
Union City, NJ 07087-2468
Phone (844) 211-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy26
Upper gastrointestinal (GI) endoscopy for acid reflux21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11905000NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical and Health Associates,LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

654 Broadway
Bayonne, NJ 07002
Phone (201) 243-9999

744 Broadway
Rear
Bayonne, NJ 07002
Phone (201) 436-8888

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

3196 Kennedy Blvd
Ste 2
Union City, NJ 07087
Phone (201) 604-0377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EADHCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EADHCA/Endpoint/EADHCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1003347311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302728",
            "telephone_number": "201-821-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBESAI",
        "first_name": "MERON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11905000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.