Individual provider Active NPI

Debra Obrien, MD

  • Pediatrics Physician
  • Shrewsbury, NJ
National Provider Identifier
1780755447
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06955000 Issued in NJ
Practice address
20 White Rd
Suite D
Shrewsbury, NJ 07702-4039
Phone
(732) 741-3400
Fax
(732) 741-3104
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA69550 NJ
Pediatrics Physician 208000000X 25MA06955000 NJ Primary

Addresses

Primary practice location

20 White Rd
Suite D
Shrewsbury, NJ 07702-4039

Mailing address

20 White Rd
Suite D
Shrewsbury, NJ 07702-4039
Phone (732) 741-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA69550NJMDSpecialist
25MA06955000NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debra.obrien@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1780755447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WHITE RD",
            "address_2": "SUITE D",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024039",
            "telephone_number": "732-741-3400",
            "fax_number": "732-741-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WHITE RD",
            "address_2": "SUITE D",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024039",
            "telephone_number": "732-741-3400",
            "fax_number": "732-741-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA69550",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06955000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.