Individual provider Active NPI

Deborah J Bob, APRN

  • Nurse Practitioner
  • Newtown, PA
National Provider Identifier
1215927561
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008752 Issued in PA
Practice address
104 Pheasant Run
Suite 128
Newtown, PA 18940-3439
Phone
(215) 860-3344
Fax
(215) 860-8950
NPI assigned
Oct 27, 2005
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008752 PA Primary

Addresses

Primary practice location

104 Pheasant Run
Suite 128
Newtown, PA 18940-3439

Mailing address

3400 Civic Center Blvd
2ND FLR, East Pavilion
Philadelphia, PA 19104
Phone (215) 615-4949

Other names 1

  • Deborah Banfitch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040228000189 NJ Practitioner - Nurse Practitioner 6709773468 Reassigns benefits to 2 organizations
I20051102000318 PA Practitioner - Nurse Practitioner 6709773468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221

350 Forsgate Dr
Monroe, NJ 08831-5155

5 Plainsboro Rd
Plainsboro, NJ 08536-1915

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008752PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince May 22, 2016 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Nov 18, 2019 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Nov 18, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Current Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Nov 18, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Nov 18, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince May 22, 2016 Accepting new patients
New Jersey Preventive Cardiology Past Accepting new patients
Hamilton Cardiology Associates, PA PastSince Aug 8, 2011 Accepting new patients
Hamilton Infectious Disease Associates Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

4 Princess Rd
Ste 207
Lawrenceville, NJ 08648
Phone (609) 883-1587

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3400 Civic Center Blvd
Ste 2E
Philadelphia, PA 19104
Phone (215) 615-0820

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.762

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1215927561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "2ND FLR, EAST PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-615-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN",
            "address_2": "SUITE 128",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403439",
            "telephone_number": "215-860-3344",
            "fax_number": "215-860-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOB",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "BANFITCH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.