Individual provider Active NPI

Deborah Jean Accetta Pedersen, M.D.

  • Allergy & Immunology Physician
  • Taunton, MA
National Provider Identifier
1023281532
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
246209 Issued in MA
Practice address
101 Industrial Park Rd
Suite 307
Taunton, MA 02780-7393
Phone
(508) 880-3121
Fax
(508) 880-0926
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 246209 MA Primary
Pediatrics Physician 208000000X 125049414 IL

Addresses

Primary practice location

101 Industrial Park Rd
Suite 307
Taunton, MA 02780-7393

Mailing address

101 Industrial Park Rd
Suite 307
Taunton, MA 02780-7393
Phone (508) 880-3121

Other names 1

  • Dr. Deborah J. Accetta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110914000094 MA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1951584051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Icahn School of Medicine at Mount Sinai, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Care PCGroup PAC ID 9537233838, 3 clinicians

Practice addresses (Care Compare)

101 Industrial Park Rd
Unit 307
Taunton, MA 02780-7394
Phone (508) 880-3121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125049414ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Care PC Allergy & Immunology CurrentSince Sep 1, 2011 Accepting new patients
Allergy & Asthma Care PC Allergy & Immunology CurrentSince May 7, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Allergy & Immunology Past Accepting new patients

Locations

101 Industrial Park Rd
Unit 307
Taunton, MA 02780
Phone (508) 880-3121

2007 Bay St
Ste 101
Taunton, MA 02780
Phone (508) 880-3121

Interoperability endpoints

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

Organizations & group practices 3

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

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1023281532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 INDUSTRIAL PARK RD",
            "address_2": "SUITE 307",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027807393",
            "telephone_number": "508-880-3121",
            "fax_number": "508-880-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 INDUSTRIAL PARK RD",
            "address_2": "SUITE 307",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027807393",
            "telephone_number": "508-880-3121",
            "fax_number": "508-880-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "DEBORAH",
        "middle_name": "JEAN ACCETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "246209",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125049414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ACCETTA",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.