Individual provider Active NPI

Deborah Lynne Kessous, M.D.

  • Pediatrics Physician
  • Millstone Township, NJ
National Provider Identifier
1588860100
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA73647 Issued in NJ
Practice address
504 Monmouth Rd
Millstone Township, NJ 08510-1226
Phone
(609) 208-0570
Fax
(609) 208-0574
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA73647 NJ Primary

Addresses

Primary practice location

504 Monmouth Rd
Millstone Township, NJ 08510-1226

Mailing address

504 Monmouth Rd
Millstone Township, NJ 08510-1226
Phone (609) 208-0570

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
I20251201002271 NJ Practitioner - Pediatric Medicine 5294228086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

57 Route 46
Suite 212
Hackettstown, NJ 07840-2695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA73647NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Oct 1, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Central Jersey Pediatrics Pediatrics Past Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1300 How Ln
North Brunswick, NJ 08902
Phone (732) 247-1510

1553 Ruth Rd
Ste 1
North Brunswick, NJ 08902
Phone (732) 418-1700

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, 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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1588860100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MONMOUTH RD",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085101226",
            "telephone_number": "609-208-0570",
            "fax_number": "609-208-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MONMOUTH RD",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085101226",
            "telephone_number": "609-208-0570",
            "fax_number": "609-208-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSOUS",
        "first_name": "DEBORAH",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA73647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millstone Township, NJ

Sources for this page

Verify at the official NPI Registry.