Individual provider Active NPI

Deborah Rabner, M.D.

  • Dermatology Physician
  • West Caldwell, NJ
National Provider Identifier
1538120845
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA54796 Issued in NJ
Practice address
1129 Bloomfield Ave
Suite 205
West Caldwell, NJ 07006-7127
Phone
(973) 575-6880
Fax
(973) 575-1616
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA54796 NJ Primary

Addresses

Primary practice location

1129 Bloomfield Ave
Suite 205
West Caldwell, NJ 07006-7127

Mailing address

Deborah Rabner MD LLC
MSC#894 PO Box 830639
Birmingham, AL 35283-0639
Phone (561) 232-6578

Other identifiers 1

IdentifierTypeStateIssuer
6608906MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000600 NJ Practitioner - Dermatology 2668651704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1129 Bloomfield Ave
Suite 205
West Caldwell, NJ 07006-7123
Phone (973) 575-6880

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions677
Removal or shaving of skin growth191
Skin biopsy254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA54796NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Rabner, M.D., LLC Dermatology CurrentSince Jul 1, 1999 Accepting new patients

Locations

1140 Bloomfield Ave
West Caldwell, NJ 07006
Phone (973) 575-5770

1129 Bloomfield Ave
Ste 205
West Caldwell, NJ 07006
Phone (973) 575-5770

Organizations & group practices 1

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1538120845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEBORAH RABNER MD LLC",
            "address_2": "MSC#894 PO BOX 830639",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830639",
            "telephone_number": "561-232-6578",
            "fax_number": "973-575-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE",
            "address_2": "SUITE 205",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067127",
            "telephone_number": "973-575-6880",
            "fax_number": "973-575-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABNER",
        "first_name": "DEBORAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-02-02",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA54796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6608906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.