NPIMap

Individual provider Active NPI

Deborah A. Butzbach, M.D.

  • Radiation Oncology Physician
  • Mount Holly, NJ
National Provider Identifier
1871595348
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA07399100 Issued in NJ
Practice address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone
(609) 267-0700
Fax
(609) 261-4180
NPI assigned
Aug 13, 2005
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA07399100 NJ Primary

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060-2038

Mailing address

1295 Route 38
P.O. Box 479
Hainesport, NJ 08036-2702
Phone (609) 261-7017

Other identifiers 1

IdentifierTypeStateIssuer
8860408MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050808000845 NJ Practitioner - Radiation Oncology 8820027097 Reassigns benefits to 1 organization
I20170620003304 PA Practitioner - Radiation Oncology 8820027097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 261-7074

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 21, 2017 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Aug 21, 2017 Accepting new patients
University of Penn-Medical Group Radiation Oncology CurrentSince Jul 1, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Radiation Oncology Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Urology of Hamilton Current Accepting new patients
Radiology Associates of Burlington County P a PastSince Aug 28, 2022 Accepting new patients

Locations

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

350 Young Ave
Ste 100
Moorestown, NJ 08057
Phone (856) 206-4700

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

239 Hurffville Crosskeys Rd
Ste 190
Sewell, NJ 08080
Phone (856) 341-8400

200 Bowman Dr
Ste 190
Voorhees, NJ 08043
Phone (856) 247-7370

200 Bowman Dr
Ste D190
Voorhees, NJ 08043
Phone (215) 913-2921

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1871595348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ROUTE 38",
            "address_2": "P.O. BOX 479",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "609-261-7017",
            "fax_number": "609-261-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-267-0700",
            "fax_number": "609-261-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZBACH",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-13",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA07399100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8860408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.