Individual provider Active NPI

Debra R Tarantino, M.D.

  • Colon & Rectal Surgery Physician
  • Millburn, NJ
National Provider Identifier
1952477986
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MA07109700 Issued in NJ
Practice address
231 Millburn Avenue
Millburn, NJ 07041-1718
Phone
(973) 467-2277
Fax
(973) 467-1317
NPI assigned
Nov 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 25MA07109700 NJ Primary

Addresses

Primary practice location

231 Millburn Avenue
Millburn, NJ 07041-1718

Mailing address

231 Millburn Avenue
Millburn, NJ 07041-1718
Phone (973) 467-2277

Other identifiers 6

IdentifierTypeStateIssuer
2621451OtherNJAETNA INDIVIDUAL #
D09142-SCE402OtherNJOXFORD GROUP #
J15550OtherNJHEALTHNET INDIVIDUAL #
0X00NJ4000OtherNJHEALTHNET GROUP #
0489140OtherNJAETNA GROUP #
P2172646OtherNJOXFORD INDIVIDUAL #

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000006 NJ Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3971786484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817

201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 923-7455

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (888) 724-7123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Dec 1, 2014 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jan 9, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 1, 2014 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

200 S Orange Ave
Ste 101
Livingston, NJ 07039
Phone (973) 322-7580

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

111 Madison Ave
Ste 312
Morristown, NJ 07960
Phone (973) 267-1225

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: dtarantino17352@epicdirect.rwjbh.org

Organizations & group practices 3

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 1

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952477986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MILLBURN AVENUE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411718",
            "telephone_number": "973-467-2277",
            "fax_number": "973-467-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MILLBURN AVENUE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411718",
            "telephone_number": "973-467-2277",
            "fax_number": "973-467-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "DEBRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA07109700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL #",
            "identifier": "2621451",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD GROUP #",
            "identifier": "D09142-SCE402",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET INDIVIDUAL #",
            "identifier": "J15550",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GROUP #",
            "identifier": "0X00NJ4000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "0489140",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INDIVIDUAL #",
            "identifier": "P2172646",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.