NPIMap

Organization Active NPI

Deborra M. Torres, MSN Pmhnp LLC

  • Prescribing (Medical) Psychologist
  • Medford, NJ
National Provider Identifier
1639514946
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
26NR06248100 Issued in NJ
Legal business name
DEBORRA M. TORRES, MSN PMHNP LLC
Practice address
5 N Main St
Suite a
Medford, NJ 08055-2439
Phone
(609) 500-4018
Fax
(973) 857-2972
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Deborra M Torres, MSN PMHNPNPI 1437351210
Title
President
Phone
(609) 500-4018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 26NR06248100 NJ Primary

Addresses

Primary practice location

5 N Main St
Suite a
Medford, NJ 08055-2439

Mailing address

4 Flagstone Dr
Shamong, NJ 08088-8532
Phone (609) 500-4018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130613000216 NJ Part B Supplier - Clinic/Group Practice 0547409054 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, NJ

National Provider Directory

National Provider Directory
Tax ID family
Deborra M Torres MSN Pmhnp LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Atsion Rd
Ste H
Medford, NJ 08055
Phone (609) 500-4018

5 N Main St
Ste A
Medford, NJ 08055
Phone (609) 500-4018

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1639514946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FLAGSTONE DR",
            "city": "SHAMONG",
            "state": "NJ",
            "postal_code": "080888532",
            "telephone_number": "609-500-4018",
            "fax_number": "973-857-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MAIN ST",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552439",
            "telephone_number": "609-500-4018",
            "fax_number": "973-857-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORRA M. TORRES, MSN PMHNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "DEBORRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-500-4018",
        "authorized_official_credential": "MSN PMHNP"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NJ",
            "license": "26NR06248100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.