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DR. DEBRA HARMADY M.D.
NPI 1053383455
Pediatrics in Middletown, NJ

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
1275 HIGHWAY 35, UNIT # 6, MIDDLETOWN, NJ 07748(732) 957-9200(732) 957-9203 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Debra Harmady M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEBRA HARMADY M.D. (NPI 1053383455) is an individual pediatrics provider in Middletown, New Jersey, licensed in New Jersey (MA070431) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1053383455
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. DEBRA HARMADYCredential: M.D.
Location Address1275 HIGHWAY 35, UNIT # 6Middletown, NJ 07748-2040
Mailing Address1275 Highway 35, Unit # 6Middletown, NJ 07748-2040 · (732) 957-9200 · Fax (732) 957-9203
Phone(732) 957-9200
Fax(732) 957-9203
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJanuary 17, 2017
✔ NPI 1053383455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA070431
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1275 HIGHWAY 35, Middletown, NJ 07748
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Other Identifiers 1

Medicaid8529302NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Debra Harmady M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022428861
PECOS Enrollment IDI20201105000803
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VENTURE PEDIATRICS, LLC
Pediatrics
1275 HIGHWAY 35, UNIT # 6
MIDDLETOWN, NJ 07748
Monmouth County (732) 957-9200
JEM BREAST AND WOMEN'S IMAGING LLC
Radiology (Diagnostic Radiology)
1275 HIGHWAY 35
MIDDLETOWN, NJ 07748
Monmouth County (732) 706-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Harmady's NPI number?

The NPI number for Debra Harmady is 1053383455. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Debra Harmady located?

Debra Harmady practices at 1275 Highway 35 Unit # 6, Middletown, NJ 07748. The listed phone number is (732) 957-9200.

What is Debra Harmady's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Debra Harmady enrolled in Medicare?

Yes. Debra Harmady is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Debra Harmady accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Debra Harmady as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debra Harmady was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.