Olga Debrin

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00368900 Issued in NJ

Practice address

254B Mountain Ave
Suite 201
Hackettstown, NJ 07840-2413

Phone

(908) 767-1089

Fax

(908) 684-3065

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Jersey Sports Medicine and Orthopedic Center, LLCGroup PAC ID 6709895733, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
• Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
• Newton Medical Center Hospital, Newton, NJ, CCN 310028
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as group

Quality

89.4

Promoting interoperability

97

Improvement activities

40

Cost

76.44

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Jersey Sports Medicine and Orthopedic Center LLC

  • Specialist
  • Hackettstown, NJ
  • NPI 1619025038
  Medicare reassignment Care Compare group NPD
• North Jersey Sports Medicine & Orthopedic Center, LLC

  dba The Orthopedic Institute of NJ

  • Specialist
  • Morristown, NJ
  • NPI 1417575531
  NPD

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

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Hackettstown, NJ
  • NPI 1518969419
  Care Compare affiliation
• Ahs Hospital Corp

  dba Newton Medical Center

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Kessler Institute for Rehabilitation Inc

  dba Kessler Rehabilitation Center

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Luke's Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1437692308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE",
            "address_2": "SUITE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-767-1089",
            "fax_number": "908-684-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE",
            "address_2": "SUITE 201",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-767-1089",
            "fax_number": "908-684-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRIN",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00368900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bijal A Dave, MD
• David W. Paulussen, D.M.D.PA
• Rushea A Dawes-Moore, CNM
• Dana M. De Kleine, L.P.C.
• Peter De Kleine
• Michael Andrew Deehan, MD
• Stephen T Deehan IV, DMD
• Lisa May Defalco, D.O.
• Robert A Defalco Jr., DO
• Dino Nicol E. Dejesus, DO

• Medical Physician Assistant in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.