Debra Ann Pawlicki

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN530554L Issued in PA

Practice address

512 Brown St
Delran, NJ 08075-1162

Phone

(856) 600-7508

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1861075582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BROWN ST",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751162",
            "telephone_number": "856-600-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BROWN ST",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751162",
            "telephone_number": "856-600-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLICKI",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "PA",
            "license": "RN530554L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Patel
• Patient First Maryland Physicians Group, P.C.
• Patient First New Jersey Physicians Group LLC
• Patient First New Jersey Physicians Group LLC
• Paul M Kosmorsky DO LLC
• Mackenzie June Peed
• Lutsiya S Pelimskaya, MD
• Richard Perello, D.D.S.
• Sahara Perkins, LCSW
• Autumn Perlmutter

• Registered Nurse First Assistant in Delran, NJ
• Providers in Delran, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.