Individual provider Active NPI

Deborah Joseph, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northfield, NJ
National Provider Identifier
1497565519
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15229900 Issued in NJ
Practice address
1423 Tilton Rd Ste 6
Northfield, NJ 08225-1857
Phone
(973) 954-4592
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15229900 NJ Primary

Addresses

Primary practice location

1423 Tilton Rd Ste 6
Northfield, NJ 08225-1857

Mailing address

108 Park Ave
Somerdale, NJ 08083-1526
Phone (609) 413-0713

Other practice location 1

151 Fries Mill Rd Ste 101
Turnersville, NJ 08012-2056
Phone (973) 954-4592

Other practice location 2

1950 Route 70 E Ste 201
Cherry Hill, NJ 08003-2128
Phone (973) 954-4592

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
I20250424001124 NJ Practitioner - Nurse Practitioner 6709302581 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15229900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
1555 A New LLC CurrentSince Apr 17, 2025 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Aug 28, 2025 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

1030 Kings Hwy N
Ste 210
Cherry Hill, NJ 08034
Phone (856) 321-1900

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

1423 Tilton Rd
Ste 6
Northfield, NJ 08225
Phone (609) 697-7933

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.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1497565519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PARK AVE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831526",
            "telephone_number": "609-413-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 TILTON RD STE 6",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251857",
            "telephone_number": "973-954-4592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Fries Mill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122056",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Route 70 E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032128",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "DEBORAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15229900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.