Individual provider Active NPI

Debra Roditski, ARNP

  • Nurse Practitioner
  • Teaneck, NJ
National Provider Identifier
1851350847
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN06266800 Issued in NJ
Practice address
222 Cedar LN
208
Teaneck, NJ 07666-4314
Phone
(201) 907-0484
Fax
(201) 907-0428
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN06266800 NJ Primary

Addresses

Primary practice location

222 Cedar LN
208
Teaneck, NJ 07666-4314

Mailing address

222 Cedar LN
208
Teaneck, NJ 07666-4314
Phone (201) 907-0484

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000020 NJ Practitioner - Nurse Practitioner 0446339246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

408 37TH St
Union City, NJ 07087-4994
Phone (201) 864-4477

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 379-5757

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN06266800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA CurrentSince Jun 1, 2016 Accepting new patients

Locations

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

222 Cedar Ln
Ste 208
Teaneck, NJ 07666
Phone (201) 907-0442

222 Cedar Ln
Ste 300
Teaneck, NJ 07666
Phone (201) 530-1488

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851350847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN",
            "address_2": "208",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664314",
            "telephone_number": "201-907-0484",
            "fax_number": "201-907-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN",
            "address_2": "208",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664314",
            "telephone_number": "201-907-0484",
            "fax_number": "201-907-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODITSKI",
        "first_name": "DEBRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN06266800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.