Active NPI
Deborah A Kanobel, APN
- Nurse Practitioner
- Long Branch, NJ
National Provider Identifier
1154533701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NN07147900
- Practice address
- 300 Second Ave
Long Branch, NJ 07740 - Phone
- (732) 923-5200
- NPI assigned
- May 4, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN07147900 | NJ | |
| Nurse Practitioner | 363L00000X | 26NN07147900 | NJ | Primary |
Addresses
Primary practice location
300 Second Ave
Long Branch, NJ 07740
Mailing address
82 Stevenson Dr
Marlboro, NJ 07746-2725
Phone (732) 303-9959
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
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1154533701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 STEVENSON DR",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077462725",
"telephone_number": "732-303-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SECOND AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "07740",
"telephone_number": "732-923-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANOBEL",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN07147900",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NN07147900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.