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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Willaim Debruin was last updated on August 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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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.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

ADEL M ZAUK M.D.

Pediatrics (Neonatal-Perinatal Medicine)