NPIMap

Organization Active NPI

Professional Service Fund of Deborah- Anesthesia

  • Specialist
  • Browns Mills, NJ
National Provider Identifier
1902852015
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA
Practice address
200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone
(609) 893-1200
Fax
(609) 735-0175
NPI assigned
May 26, 2006
Last updated
Mar 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PROFESSIONAL SERVICE FUND OF DEBORAHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Gail Caton
Title
Credentialing
Phone
(609) 893-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

200 Trenton Rd
Browns Mills, NJ 08015-1705

Mailing address

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

Other identifiers 1

IdentifierTypeStateIssuer
3253708MedicaidNJ

Other names 1

  • Professional Service Fund of Deborah Anesthesia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000283 NJ Part B Supplier - Clinic/Group Practice 9133163504 Receives reassigned benefits from 58 practitioners
Practice locations: Browns Mills, NJ

National Provider Directory

National Provider Directory
Part of
Professional Service Fu

Practitioners & affiliated clinicians

Practitioners 279

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 279

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1902852015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-1200",
            "fax_number": "609-735-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-1200",
            "fax_number": "609-735-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL SERVICE FUND OF DEBORAH",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "CATON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "609-893-1200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3253708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Service Fund of Deborah Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Browns Mills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.