Active NPI
Deana Marie Bidey, D.O.
- Child & Adolescent Psychiatry Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OT012647
- Practice address
- 5000 Sagemore Dr Ste 205
Marlton, NJ 08053-4332 - Phone
- (856) 983-3866
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MB10854300 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | OT012647 | PA | Primary |
Addresses
Primary practice location
5000 Sagemore Dr Ste 205
Marlton, NJ 08053-4332
Mailing address
324 Maple Ave
Haddonfield, NJ 08033-1436
Phone (570) 401-8743
Other practice location 1
420 Cowpath Rd
Souderton, PA 18964-2036
Phone (267) 203-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10854300 | NJ | MD | Child & Adolescent Psychiatry Physician |
| OT012647 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Single Specialty | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Single Specialty | Current | Accepting new patients |
| Indian Creek Foundation | Single Specialty | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Single Specialty | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
420 Cowpath Rd
Souderton, PA 18964
Phone (267) 203-1500
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
Single Specialty
-
- Community/Behavioral Health Agency
- Souderton, PA
- NPI 1023163854
Single Specialty
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
Single Specialty
-
- Pediatrics Physician
- Chester, PA
- NPI 1780031005
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1053633164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 MAPLE AVE",
"city": "HADDONFIELD",
"state": "NJ",
"postal_code": "080331436",
"telephone_number": "570-401-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SAGEMORE DR STE 205",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534332",
"telephone_number": "856-983-3866"
}
],
"practiceLocations": [
{
"address_1": "420 Cowpath Rd",
"address_purpose": "LOCATION",
"city": "Souderton",
"state": "PA",
"postal_code": "189642036",
"country_code": "US",
"telephone_number": "267-203-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIDEY",
"first_name": "DEANA",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MB10854300",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "OT012647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.