Active NPI
Debra Tawil, APN
- Family Nurse Practitioner
- Englewood, NJ
National Provider Identifier
1053900209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01050900
- Practice address
- 350 Engle St
Englewood, NJ 07631-1808 - Phone
- (201) 894-3202
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01050900 | NJ | Primary |
Addresses
Primary practice location
350 Engle St
Englewood, NJ 07631-1808
Mailing address
1128 Bromley Ave
Teaneck, NJ 07666-1918
Phone (201) 401-7545
Other practice location 1
1128 Bromley Ave
Teaneck, NJ 07666-1918
Phone (201) 401-7545
Other practice location 2
1000 River Rd
Teaneck, NJ 07666-1938
Phone (201) 692-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01050900 | NJ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1053900209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 BROMLEY AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661918",
"telephone_number": "201-401-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076311808",
"telephone_number": "201-894-3202"
}
],
"practiceLocations": [
{
"address_1": "1128 Bromley Ave",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "076661918",
"country_code": "US",
"telephone_number": "201-401-7545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 River Rd",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "076661938",
"country_code": "US",
"telephone_number": "201-692-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAWIL",
"first_name": "DEBRA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01050900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.