Individual provider Active NPI

Deborah White, DO

  • Obstetrics & Gynecology Physician
  • Sewell, NJ
National Provider Identifier
1679702682
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207V00000X Issued in NJ
Practice address
445 Hurffville Crosskeys Rd BLDG a
Sewell, NJ 08080-2337
Phone
(856) 218-2312
Fax
(856) 218-2873
NPI assigned
Jul 11, 2009
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 207V00000X NJ Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd BLDG a
Sewell, NJ 08080-2337

Mailing address

445 Hurffville Crosskeys Rd BLDG a
Sewell, NJ 08080-2337
Phone (856) 218-2312

Other identifiers 1

IdentifierTypeStateIssuer
0379441MedicaidNJ

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
I20131028000251 NJ Practitioner - Obstetrics/Gynecology 4183859200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (844) 542-2273

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207V00000XNJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice P.C. CurrentSince Jul 1, 2015 Accepting new patients
Kennedy University Hospital, Inc CurrentSince Jul 29, 2013 Accepting new patients
Kennedy University Hospital, Inc. Obstetrics & Gynecology Current Accepting new patients
Kennedy University Hospital Inc CurrentSince Jul 29, 2013 Accepting new patients
Kennedy Medical Group Practice, P.C. Obstetrics & Gynecology CurrentSince Jun 15, 2021 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jul 1, 2015 Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

100 Kings Way E
Ste A3
Sewell, NJ 08080
Phone (856) 262-1900

445 Hurffville Crosskeys Rd
Bldg A
Sewell, NJ 08080
Phone (856) 218-2312

Organizations & group practices 8

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.

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1679702682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD BLDG A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-218-2312",
            "fax_number": "856-218-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD BLDG A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-218-2312",
            "fax_number": "856-218-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEBORAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "207V00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0379441",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.