Active NPI
Deborra M. Torres, MSN, Pmhnp, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Medford, NJ
National Provider Identifier
1811246879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00116000
- Legal business name
- DEBORRA M. TORRES, MSN, PMHNP, LLC
- Practice address
- 5 N Main St Ste a
Medford, NJ 08055-2439 - Phone
- (609) 500-4018
- Fax
- (609) 388-4905
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborra M Torres, MSN, PMHNP
- Title
- Psychiatric Nurse Practitioner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00116000 | NJ | Primary |
Addresses
Primary practice location
5 N Main St Ste a
Medford, NJ 08055-2439
Mailing address
4 Flagstone Dr
Shamong, NJ 08088-8532
Phone (609) 500-4018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29807 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Deborra M Torres MSN Pmhnp LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prescribing (Medical) Psychologist
- Medford, NJ
- NPI 1639514946
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hainesport, NJ
- NPI 1437351210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1811246879",
"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": "609-388-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N MAIN ST STE A",
"city": "MEDFORD",
"state": "NJ",
"postal_code": "080552439",
"telephone_number": "609-500-4018",
"fax_number": "609-388-4905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORRA M. TORRES, MSN, PMHNP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "DEBORRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "609-500-4018",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSN, PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00116000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29807",
"state": "NJ"
}
],
"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 Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.