Individual provider Active NPI

Emily Rose Dubelbeiss

  • Obstetrics & Gynecology Physician
  • Moorestown, NJ
National Provider Identifier
1659996262
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA12321300 Issued in NJ
Practice address
401 Young Ave Ste 325
Moorestown, NJ 08057-4800
Phone
(800) 346-7834
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA12321300 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 325
Moorestown, NJ 08057-4800

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

1805 Route 206 # 111213
Southampton, NJ 08088-3558
Phone (609) 261-0240

Other practice location 2

200 Bowman Dr Ste 340&E366
Voorhees, NJ 08043-9623
Phone (856) 247-7600

Other practice location 3

101 Burrs Rd Ste A&b
Westampton, NJ 08060-5517
Phone (609) 261-0240

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address edubelbeiss275106@directvirtua.org
Direct Messaging Address edubelbeiss275106@directvirtua.org
Direct Messaging Address edubelbeiss275106@directvirtua.org
Direct Messaging Address edubelbeiss275106@directvirtua.org

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
I20241001000005 NJ Practitioner - Obstetrics/Gynecology 2466983572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

101 Burrs Rd
Westampton, NJ 08060-5517

175 Madison Ave
Mount Holly, NJ 08060-2038

1805 Route 206
Southampton, NJ 08088-3558
Phone (609) 261-0240

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 325
Moorestown, NJ 08057
Phone (800) 346-7834

200 Bowman Dr
Ste 340E366
Voorhees, NJ 08043
Phone (856) 247-7600

101 Burrs Rd
Ste Ab
Westampton, NJ 08060
Phone (609) 261-0240

Interoperability endpoints

  • Direct secure messaging: edubelbeiss275106@directvirtua.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1659996262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 325",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574800",
            "telephone_number": "800-346-7834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Route 206 # 111213",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NJ",
            "postal_code": "080883558",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste 340&E366",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439623",
            "country_code": "US",
            "telephone_number": "856-247-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Burrs Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080605517",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBELBEISS",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA12321300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edubelbeiss275106@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 325",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080574800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edubelbeiss275106@directvirtua.org",
            "affiliation": "N",
            "address_1": "1805 Route 206 # 111213",
            "city": "Southampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080883558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edubelbeiss275106@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 340&E366",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edubelbeiss275106@directvirtua.org",
            "affiliation": "N",
            "address_1": "101 Burrs Rd Ste A&b",
            "city": "Westampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080605517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.