Debra Lynn McGrath, R. N., A.P.N., C.
Individual provider Active NPI Acute Care Nurse Practitioner · Middletown, NJ
NPI 1881998060 · NPPES record last updated Jan 3, 2011
Key facts
- NPI
- 1881998060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 26NJ00315500 (NJ)
- Practice address
- 6 Brookline CT
Middletown, NJ 07748-3302 - Phone
- (732) 275-9013
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
-
Isaac J Dweck, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120228000426 | NJ | Practitioner - Nurse Practitioner | 0840458477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00315500 | NJ | Yes |
Addresses
Primary practice location
6 Brookline CT
Middletown, NJ 07748-3302
Mailing address
6 Brookline CT
Middletown, NJ 07748-3302
Phone (732) 275-9013
NPI Registry JSON
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1881998060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BROOKLINE CT",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077483302",
"telephone_number": "732-275-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BROOKLINE CT",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077483302",
"telephone_number": "732-275-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "R. N., A.P.N., C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00315500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NJ
- MBC Eyecare Inc
- Shannon T McBride
- Mary Beth McCabe
- Brendan Patrick McDermott
- Megan McDermott
- Jamie McGrath
- Kimberly McGuire
- Peter A McGuire
- Shanda Monique McManus
- Medical Art Center
All providers in Middletown, NJ · Acute Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.