DLB Medical LLC
Organization Active NPI Adult Health Nurse Practitioner · Toms River, NJ
NPI 1205501871 · NPPES record last updated Nov 15, 2021
Key facts
- NPI
- 1205501871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- DLB MEDICAL LLC
- Practice address
- 1443 Ottawa CT
Toms River, NJ 08753-2962 - Phone
- (732) 522-4868
- Fax
- (732) 255-5659
- NPI assigned
- Aug 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Deborah Bader, NP
- Title
- Owner
- Phone
- (732) 522-4868
Practitioners 1
-
Deborah Marie Bader, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211001000003 | NJ | Part B Supplier - Clinic/Group Practice | 4789081977 |
Receives reassigned benefits from 1 practitioner Practice locations: Toms River, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
1443 Ottawa CT
Toms River, NJ 08753-2962
Mailing address
1443 Ottawa CT
Toms River, NJ 08753-2962
Phone (732) 522-4868
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | dlbmedicalllc@gmail.com | Health Information Exchange (HIE) |
Other providers in Toms River, NJ
- Melissa K Dixon
- Sabrina Dixon
- Cherry Dizon
- Albine Djeagou Fomena
- Anisa Djermoun
- Jessica Doell
- Dylan Doherty
- Cheryl Lynn Dolan
- Amanda Dolias
- Katelyn Dolieslager
All providers in Toms River, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.