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DR. WILLAIM J DEBRUIN M.D.
NPI 1457353757
Pediatrics - Pediatric Critical Care Medicine in Paterson, NJ

Active since June 01, 2005PECOS Enrolled
703 MAIN ST, PATERSON, NJ 07503(973) 754-2560(973) 754-3702 Get Directions Write a Review

NPPES record last updated: August 25, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Willaim J Debruin M.d. NPPES

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

DR. WILLAIM J DEBRUIN M.D. (NPI 1457353757) is an individual pediatric critical care medicine provider in Paterson, New Jersey, licensed in New Jersey (MA57463) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457353757
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. WILLAIM J DEBRUINCredential: M.D.
Location Address703 MAIN STPaterson, NJ 07503-2621
Mailing AddressPo Box 36282Newark, NJ 07188-6282 · (973) 773-0100 · Fax (973) 773-2101
Phone(973) 754-2560
Fax(973) 754-3702
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 25, 2008
✔ NPI 1457353757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NJ · MA57463
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
703 MAIN ST, Paterson, NJ 07503
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Other Identifiers 3

Medicare ID-Type Unspecified704464B8ANJ
Medicaid5043701NJ
Medicare UPINE17682NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Willaim J Debruin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Willaim Debruin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.
Same address
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
Same address
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. SETAREH SHAMS MD
Obstetrics & Gynecology (Obstetrics)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2700
ANTOINE MANSOURATI MD
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
KARWAN AMEEN MD
Internal Medicine
703 MAIN ST
PATERSON, NJ 07503
Passaic County (718) 334-4000
SAIF HASAN DO
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
SUSAN MUGALU ANP
Nurse Practitioner (Family)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-0000
JONATHAN EDWARD MOVSIK
Student in an Organized Health Care Education/Training Program
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2000
DIANE E MCCLURE CPNP
Nurse Practitioner (Neonatal, Critical Care)
703 MAIN ST
PATERSON, NJ 07503
Passaic County (973) 754-2555
STEPHEN MASSOOD M.D.
Orthopaedic Surgery
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
PATERSON, NJ 07503
Passaic County (973) 754-2270

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 Willaim Debruin's NPI number?

The NPI number for Willaim Debruin is 1457353757. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Willaim Debruin located?

Willaim Debruin practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2560.

What is Willaim Debruin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Willaim Debruin enrolled in Medicare?

Yes. Willaim Debruin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Willaim Debruin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willaim Debruin reassigns Medicare benefits to 2 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ) and St Josephs Medical Group PC (Paterson, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willaim Debruin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willaim Debruin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Willaim Debruin 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 Willaim Debruin was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.