Individual provider Active NPI

Debora Warshavchik, APN

  • Family Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1831492677
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00657100 Issued in NJ
Practice address
1201 River Ave Unit 10
Lakewood, NJ 08701-5676
Phone
(732) 775-0222
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340548 NY
Family Nurse Practitioner 363LF0000X 26NJ00657100 NJ Primary

Addresses

Primary practice location

1201 River Ave Unit 10
Lakewood, NJ 08701-5676

Mailing address

1201 River Ave Unit 10
Lakewood, NJ 08701-5676
Phone (732) 775-0222

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00657100NJMDFamily Nurse Practitioner
340548NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinder Pediatrics, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1831492677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RIVER AVE UNIT 10",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015676",
            "telephone_number": "732-775-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RIVER AVE UNIT 10",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015676",
            "telephone_number": "732-775-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAVCHIK",
        "first_name": "DEBORA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340548",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00657100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.