Individual provider Active NPI

Tina Dhebaria, D.O.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Neptune, NJ
National Provider Identifier
1124361878
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
25MB09911500 Issued in NJ
Practice address
1945 Route 33
Neptune, NJ 07753
Phone
(732) 776-4220
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 25MB09911500 NJ Primary

Addresses

Primary practice location

1945 Route 33
Neptune, NJ 07753

Mailing address

1945 Corlies Avenue
Neptune, NJ 07753-4858
Phone (732) 776-7410

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tina.dhebaria@hackensackmeridian.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190529001927 NJ Practitioner - Pediatric Medicine 7810230117 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09911500NJMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barron Emergency Physicians LLC CurrentSince Jun 1, 2019 Accepting new patients
Capital Health Multispecialty Group CurrentSince Feb 1, 2022 Accepting new patients

Locations

1945 Corlies Ave
Neptune City, NJ 07753
Phone (732) 776-4203

1945 Corlies Ave
#33
Neptune City, NJ 07753
Phone (732) 776-4203

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1124361878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CORLIES AVENUE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534858",
            "telephone_number": "732-776-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-776-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHEBARIA",
        "first_name": "TINA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NJ",
            "license": "25MB09911500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina.dhebaria@hackensackmeridian.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "1945 Route 33",
            "city": "Neptune",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.