Deborah Telem, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R119712 Issued in MD

Practice address

258 High Ave
Nyack, NY 10960-2407

Phone

(845) 353-1441

Fax

(845) 353-1987

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1013130608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LEEWARD DR",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109272105",
            "telephone_number": "410-984-3566",
            "fax_number": "845-353-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1374 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173536",
            "country_code": "US",
            "telephone_number": "410-396-0353",
            "fax_number": "410-669-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELEM",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R119712",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R119712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Tan, PHARMD
• Jodie Tassello
• Amy Rose Taylor, BSN, RN
• Anna Taylor
• Beth Teich, M.A.
• Elza Eliza Tenorio Altvater-Conn, RD, RDN
• Jennifer Marie Terranova, MA OTR/L
• Therapeutic Solutions LTD
• Anthony Adrian Thomas, M.A., L.M.H.C.
• Jacquelyn A Thompson Carlos, CD(DONA)

• Women's Health Nurse Practitioner in Nyack, NY
• Providers in Nyack, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.