Deanna A. Pepe, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MB07173600 Issued in NJ

Practice address

5000 Sagemore Dr Ste 205
Marlton, NJ 08053-4332

Phone

(856) 983-3866

Fax

(856) 985-8148

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cooper Care Alliance, PC

  • Specialist
  • Camden, NJ
  • NPI 1215551437
  Medicare reassignment NPD
• Centra PC

  • Mental Health Counselor
  • Marlton, NJ
  • NPI 1225241995
  NPD (past)
• Family Physicians at Burlington

  • Family Medicine Physician
  • Burlington, NJ
  • NPI 1356484687
  NPD (past)
• Family Practice & Counseling Services Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1043204811
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1336111822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 TIMBERLINE DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433400",
            "telephone_number": "609-315-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DR STE 205",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534332",
            "telephone_number": "856-983-3866",
            "fax_number": "856-985-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Britton Pl Ste 16",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432514",
            "country_code": "US",
            "telephone_number": "856-209-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPE",
        "first_name": "DEANNA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS013919",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MB07173600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006726",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Peer, APN
• Julia Nicole Pellegrino
• Nicole Pelliciari, BCBA
• Dominique Pelote, APN
• Chaliyah Penick, M.AC., L.AC.
• Alisan Perelmut, DMD
• Yajaira Perez-Ramirez, LCSW
• Alexandra Rae Perez, NURSE PRACTITIONER
• Jennifer Perez, LSW
• Ryan Pergolizzi, D.C.

• Psychiatry Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.