Active NPI
Tracy Debiaso, MD
- Family Medicine Physician
- Bridgeton, NJ
National Provider Identifier
1831146802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA06258600
- Practice address
- 230 Laurel Heights Drive
Bridgeton, NJ 08302-3634 - Phone
- (856) 451-9595
- Fax
- (856) 451-4130
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA06258600 | NJ | Primary |
Addresses
Primary practice location
230 Laurel Heights Drive
Bridgeton, NJ 08302-3634
Mailing address
230 Laurel Heights Drive
Bridgeton, NJ 08302-3634
Phone (856) 451-9595
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F16382 | Other | HEALTH NET | |
| 6605907 | Medicaid | NJ | |
| J3322 | Other | HORIZON | |
| 1469012002 | Other | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
230 Laurel Heights Dr
Bridgeton, NJ 08302-3634
Phone (856) 451-9595
Hospital & facility affiliations
- Bayada at Inspira, Home Health and Hospice
- Red Oak Hospice LLC
- Inspira Medical Center Vineland
- Inspira Medical Center Mullica Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates of Cumberland Co PC | Family Medicine | Current | Accepting new patients |
Locations
230 Laurel Heights Dr
Bridgeton, NJ 08302
Phone (610) 521-0150
Interoperability endpoints
- familypracticeofcumberlandco.tracydebiasomd@131399.advancedmd-direct.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.
-
- Family Medicine Physician
- Bridgeton, NJ
- NPI 1699703587
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- Community Based Hospice Care Agency
- Bridgeton, NJ
- NPI 1275084840
-
- Home Health Agency
- West Deptford, NJ
- NPI 1629431481
-
- Home Health Agency
- Millville, NJ
- NPI 1710340575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1831146802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 LAUREL HEIGHTS DRIVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023634",
"telephone_number": "856-451-9595",
"fax_number": "856-451-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 LAUREL HEIGHTS DRIVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083023634",
"telephone_number": "856-451-9595",
"fax_number": "856-451-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBIASO",
"first_name": "TRACY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA06258600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F16382",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6605907",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "J3322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1469012002",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.