Debra Ann Bacchus

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

13010 144TH St
Jamaica, NY 11436-2214

Phone

(718) 781-5417

Fax

(718) 322-7480

NPI assigned

Oct 30, 2015

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)

Not enrolled

Practice roles

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.

• Aavjn&Aija Corner

  • Case Manager/Care Coordinator
  • Jamaica, NY
  • NPI 1457725905
  NPD (past) Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1083086912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 144TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362214",
            "telephone_number": "718-781-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 144TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362214",
            "telephone_number": "718-781-5417",
            "fax_number": "718-322-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barukho Babayeva, CASAC
• Sarina Babayeva
• Svetlana Babekova, NP
• Babu M Joseph MD PC
• Mohammad Babury, MD
• Natalya Bachayev
• Back to Move PT. PC
• Karen Bacon, R.N.
• Shoshanna Bacquie, MSW
• Isak Badalov, DPM

• Case Manager/Care Coordinator in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.