Organization Active NPI

Deborra M. Torres, MSN, Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, NJ
National Provider Identifier
1811246879
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00116000 Issued in NJ
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

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Ms. Deborra M Torres, MSN, PMHNPNPI 1437351210
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
29807MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Deborra M Torres MSN Pmhnp LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.