Individual provider Active NPI

Debora Estefanny La Torre, APN

  • Family Nurse Practitioner
  • Fair Lawn, NJ
National Provider Identifier
1871023168
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00738100 Issued in NJ
Practice address
24-12 Fair Lawn Ave
Fair Lawn, NJ 07410-3401
Phone
(866) 389-2727
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 26NJ00738100 NJ Primary
Nurse Practitioner 363L00000X 26NJ00738100 NJ

Addresses

Primary practice location

24-12 Fair Lawn Ave
Fair Lawn, NJ 07410-3401

Mailing address

714 1St St
Lyndhurst, NJ 07071-2906
Phone (973) 590-6533

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
I20171025002328 NJ Practitioner - Nurse Practitioner 9537435169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

387 Pompton Ave
Cedar Grove, NJ 07009-1801
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00738100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 15, 2017 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Feb 15, 2019 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 15, 2017 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Jul 16, 2025 Accepting new patients

Locations

387 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 507-6049

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

24-12 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 797-7500

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1871023168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 1ST ST",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712906",
            "telephone_number": "973-590-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-12 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103401",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA TORRE",
        "first_name": "DEBORA",
        "middle_name": "ESTEFANNY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00738100",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00738100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.