Individual provider Active NPI

Deborah Marie Pontoriero, ARNP

  • Gerontology Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1508829540
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NN05408900 Issued in NJ
Practice address
2106 New Rd Ste D4
Linwood, NJ 08221-1050
Phone
(609) 926-6474
Fax
(099) 266-4746
NPI assigned
Apr 10, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NN05408900 NJ Primary
Gerontology Registered Nurse 163WG0600X P26NRO540890 NJ

Addresses

Primary practice location

2106 New Rd Ste D4
Linwood, NJ 08221-1050

Mailing address

2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Phone (609) 926-8899

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
I20050310000380 NJ Practitioner - Nurse Practitioner 0143274332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coyle S Connolly DO PAGroup PAC ID 2961498118, 32 clinicians

Practice addresses (Care Compare)

2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Phone 60992688991196

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
95.33
Promoting interoperability
86
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P26NRO540890NJMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coyle S Connolly DO PA CurrentSince Jul 1, 2018 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Jan 29, 2018 Accepting new patients
Multimed Associates,PC CurrentSince Apr 5, 2018 Accepting new patients
On-Site Specialty Care, LLC Past Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Past Accepting new patients
Biobehavioral Health PastSince Oct 1, 2017 Accepting new patients
Ocean Orthopedic Associates, P.a. Past Accepting new patients

Locations

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

2106 New Rd
Ste D4
Linwood, NJ 08221
Phone (609) 926-6474

1100 Wayside Rd
Tinton Falls, NJ 07712
Phone (732) 493-2220

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

1035 Hooper Ave
Ste 2D
Toms River, NJ 08753
Phone (732) 505-5050

9 Mule Rd
Ste E6
Toms River, NJ 08755
Phone (732) 240-9223

108 Lacey Rd
Ste 38A
Whiting, NJ 08759

Interoperability endpoints

  • Direct secure messaging: dpontoriero@connollydermatology.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1508829540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773534",
            "telephone_number": "609-926-8899",
            "fax_number": "856-772-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE D4",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211050",
            "telephone_number": "609-926-6474",
            "fax_number": "099-266-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTORIERO",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NN05408900",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NJ",
            "license": "P26NRO540890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.