Individual provider Active NPI

Deborah Countouris, APN-C

  • Adult Health Nurse Practitioner
  • Galloway, NJ
National Provider Identifier
1386707172
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00069900 Issued in NJ
Practice address
318 Chris Gaupp Dr
Galloway, NJ 08205-4460
Phone
(609) 404-9900
Fax
(609) 404-3687
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00069900 NJ Primary

Addresses

Primary practice location

318 Chris Gaupp Dr
Galloway, NJ 08205-4460

Mailing address

318 Chris Gaupp Dr
Galloway, NJ 08205-4460
Phone (609) 404-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000098 NJ Practitioner - Nurse Practitioner 1759336522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Chris Gaupp Dr
Suite 100
Galloway, NJ 08205-4461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.93 of 100Reported as group
Quality
75.13
Promoting interoperability
100
Improvement activities
40
Cost
57.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00069900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA CurrentSince Dec 1, 2025 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 1, 2025 Accepting new patients
Mainland Heart Consultants Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2800
Atlantic City, NJ 08401
Phone (609) 441-8036

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

318 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-9900

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 3

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.

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1386707172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054460",
            "telephone_number": "609-404-9900",
            "fax_number": "609-404-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054460",
            "telephone_number": "609-404-9900",
            "fax_number": "609-404-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTOURIS",
        "first_name": "DEBORAH",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00069900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.