Beverly L Dicerbo, RN,APN,C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NO09741700 Issued in NJ

Practice address

210 Route US 9 S
Suite 106
Marmora, NJ 08223-1200

Phone

(609) 390-7888

Fax

(609) 390-2614

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment NPD
• Atlanticare Regional Medical Center

  • Internal Medicine Physician
  • Atlantic City, NJ
  • NPI 1568663250
  Medicare reassignment
• Atlanticare Physician Group, PA

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Visiting Physician Associates of South Jersey LLC

  • Gerontology Nurse Practitioner
  • Hammonton(Elm), NJ
  • NPI 1306993951
  NPD (past)

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

• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  Care Compare affiliation

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720139033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROUTE US 9 S",
            "address_2": "SUITE 106",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-7888",
            "fax_number": "609-390-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROUTE US 9 S",
            "address_2": "SUITE 106",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-7888",
            "fax_number": "609-390-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICERBO",
        "first_name": "BEVERLY",
        "middle_name": "L",
        "credential": "RN,APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NO09741700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean T Deacon, MPT
• Demoulin Chiropractic Center
• Ellen T Demoulin, D.C.
• Louis L. Demoulin, D.C.
• Roy Diaz
• Patrick S Eye, APRN, BC
• Family Practice Associates of Cape May County, PA
• Allison Farrell, LCSW
• Annie A. Farrow, APN
• Rossell Ferrer, LPC-LICENCED PRACTIC

• Adult Health Nurse Practitioner in Marmora, NJ
• Providers in Marmora, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.