Active NPI
Debra Roccuzzo, NP
- Pediatric Nurse Practitioner
- Trenton, NJ
National Provider Identifier
1144246513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26N007322400
- Practice address
- 446 Bellevue Ave
Trenton, NJ 08618 - Phone
- (609) 394-4000
- Fax
- (609) 815-7099
- NPI assigned
- Jul 15, 2006
- Last updated
- Apr 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NN07322400 | NJ | |
| Pediatric Nurse Practitioner | 363LP0200X | 26N007322400 | NJ | Primary |
Addresses
Primary practice location
446 Bellevue Ave
Trenton, NJ 08618
Mailing address
PO Box 8500 1611
Philadelphia, PA 19178-1611
Phone (609) 815-7810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155462 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | debra.roccuzzo.1@12833.direct.athenahealth.com | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26N007322400 | NJ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates CHS LLC | Past | Accepting new patients | |
| Capital Health System | Past | Accepting new patients |
Interoperability endpoints
- debra.roccuzzo.1@12833.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multispecialty Provider Group of Capital Health System
- Internal Medicine Physician
- Trenton, NJ
- NPI 1265480081
-
- Emergency Medicine Physician
- Trenton, NJ
- NPI 1023055993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1144246513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 1611",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191781611",
"telephone_number": "609-815-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 BELLEVUE AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08618",
"telephone_number": "609-394-4000",
"fax_number": "609-815-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCCUZZO",
"first_name": "DEBRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NN07322400",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26N007322400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155462",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "debra.roccuzzo.1@12833.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "446 Bellevue Ave",
"city": "Trenton",
"state": "NJ",
"country_code": "US",
"postal_code": "08618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.